Li CC, Wang YQ, Li YP, Li XL. J Endourol. Napoli A, Anzidei M, Marincola BC, et al. Approximately 98% of subjects received 1 (60%) or 2 treatments (38%). Eur Urol. Anthem Member Services 1-855-690-7784 (TTY 711) Monday through Friday, 7 a.m. to 7 p.m. Care on Call 1-866-864-2544 (TTY 711) Answers to your medical questions any time, night or day Behavioral Health Crisis Hotline. Available at: ACOG. 2021; 127(5):544-552. Postpartum hemorrhage. Ahmed HU, Hindley RG, Dickinson L, et al. Updated: June 16, 2022. Ultrasound: A screening or diagnostic technique in which very high frequency sound waves are passed into the body, and the reflected echoes are detected and analyzed to build a picture of the internal organs or of a single fetus or multiple fetuses in the uterus. 1999b; 39(1):41-46. Albisinni S, Aoun F, Bellucci S, et al. Committee Opinion 723. CT, digital radiography, ultrasound, mammography and DEXA equipment at each of our outpatient centers. Taneja SS. Ganzer R, Robertson CN, Ward JF, et al. You bet! These options carry their own risks and side effects. $0 virtual care, 24/7. 2004; 7(4):289-294. In the obese patient, expectations regarding visualization of fetal anatomy should be tempered. J Urol. A clinically significant biopsy was reported in 34% (10/29) of participants with 59% (17/29) of participants reporting any positive biopsy. There was 1 in-field and 2 out-of-field recurrences reported at that time. Indiana Medicaid provides coverage to pregnant women through two programs. ultrasound). 2021; 205(3):769-779. The gestational sac is examined for the presence of yolk sac and embryo/fetus (a fetus is generally defined as greater than or equal to 10 weeks gestational age). Salvage magnetic resonance imaging-guided transurethral ultrasound ablation for localized radiorecurrent prostate cancer: 12-month functional and oncological results. At 2 weeks follow-up, all individuals experienced a decrease in VAS pain scores from baseline (1.5-5). MPTAC review. 2002; 59(3):394-398. The study has several methodological flaws, including lack of a comparison group, and uncertainty regarding the percentage of subjects who completed the follow-up period. Specific findings associated with congenital Zika syndrome include intracranial calcifications, microcephaly, ventriculomegaly, arthrogryposis; abnormalities of the corpus callosum, cerebrum, cerebellum, and eyes; and other brain abnormalities. Similar to prostate cancer, there is a lack of randomized trials comparing HIFU to standard treatment options. J Urol. J Urol. Practice Advisory Interim Guidance for Care of Obstetric Patients During a Zika Virus Outbreak. Shi Y, Ying X, Hu X, et al. BJU Int. 2012; 118(12):3071-3078. Colombel M, Gelet A. These studies have a number of methodological limitations, including a lack of randomization of participants, a lack of a comparator group and limited follow-up for oncologic outcomes. 2016; 47(4):530-532. Palliative treatment: Treatment given for relief of symptoms and pain rather than attempting to cure. Lawrentschuk N, Finelli A, Van der Kwast TH, et al. Blana A, Walter B, Rogenhofer S, Wieland WF. Int J Gynaecol Obstet. NCD #220.5. The current evidence does not show that clinical outcomes of those undergoing TULSA is similar to those undergoing established alternatives. 2018; 74(4):422-429. J Evid Based Med. Int J Clin Pract. Added medically necessary indication when there is a known or suspected exposure to the Zika virus to the Clinical Indications section. Government Agency, Medical Society, and Other Authoritative Publications: Maternal UltrasoundObstetricPrenatalSonography. J Urol. Blana A, Murat FJ, Walter B, et al. Baco E, Gelet A, Crouzet S, et al. The mean follow-up period was 6.4 years (range, 0.2-13.9). J Endourol. J Bone Joint Surg Am. However, the change from baseline in MEDD intake was not statistically significant, although the authors noted a trend towards a statistically significant change. Focal salvage high-intensity focused ultrasound in radiorecurrent prostate cancer. 2015; 102(3):182-193. On October 9, the FDA granted de novo clearance to SonaCare Medical, LLC (Charlotte, NC) to market the Sonablate 450 for prostate tissue ablation. The wait is over. June 2021. The system protects the urethra and rectum via a water cooling system pumped through the applicator. By March 2018, Anthem (Blue Cross/Blue Shield) will require that MR and CT scans considered "not medically necessary" be performed at freestanding medical imaging facilities in order to be covered. Revised June 27, 2022. Urol Oncol. Our radiologists are among the most . Matthew Thornton Health Plan, Inc./Anthem Blue Cross and Blue Shield Coverage for: Individual + Family | Plan Type: HMO Anthem Silver Pathway X Enhanced HMO 5500/20% S05 ($0 Preferred Virtual Care + $0 Select Drugs) The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 2004; 63(4):625-629. 2010; 17(8):715-719. Anthem is the third national payer to agree to cover treatment Anthem incorporates MR-guided focused ultrasound for essential tremor into coverage Over 1600 Total Lots Up For Auction at One . Guidelines for diagnostic imaging during pregnancy and lactation. American College of Radiology (ACR). HIFU or MRgFUS has also been studied as a potential treatment of various cancers. $0 plans in select areas. Pregnant Women. Summary of coverage and benefits PDF Service coverage and costs All employee health insurance plans provide one annual preventive care visit with your primary care provider at $0 co-pay within specified networks. 2014; 7(4):270-281. The guideline addresses several non-extirpative therapies and concluded that these therapies, including HIFU, are investigational for the treatment of renal masses. Retroperitoneal ultrasound (US) studies represent the ultrasonic imaging of retroperitoneal organs for the diagnosis and management of abnormalities that occur within the retroperitoneum. AIUM-ACR-ACOG-SMFM-SRU Practice parameter for the performance of standard diagnostic obstetric ultrasound examinations. Chaussy C, Thuroff S, Rebillard X, Gelet A. HAIFA, Israel - MIAMI, Florida (December 22, 2022) Insightec , a global healthcare company dedicated to using acoustic energy to transform patient care, announced today that Anthem is the third national payor to cover MR-guided Focused Ultrasound for treating medication-refractory Essential Tremor. MPTAC review. Clinically Localized Prostate Cancer: AUA/ASTRO/SUO Guideline. There are currently more than 125 Treatment Centers around the world using Insightec's Exablate Neuro platform to treat Essential Tremor. This prospective case series did not compare HIFU long-term survival and morbidity rates with the rates of other standard treatments. Cancer. AIUM Practice Parameter for the Performance of Limited Obstetric Ultrasound Examinations by Advanced Clinical Providers. June 7, 2018. BJU Int. 2013; 63(2):395-398. Rejection notice to me (if I'm lucky) and I start over. 2000; 14(6):519-528. Anthem isn't the only insurer trying to find a way around hospitals' steeper costs for outpatient imaging, says Lea Halim, a senior consultant at the Advisory Board, a health care research and. Yutkin V, Ahmed HU, Donaldson I, et al. High-intensity focused ultrasound and localized prostate cancer: efficacy results from the European multicentric study. Napoli A, Anzidei M, De Nunzio C, et al. 2003; 17(8):673-677. Uchida T, Baba S, Irie A, et al. These results were not included in the primary efficacy analysis. For more information about your rights, look at the explanation of benefits you will receive for that medical claim. Medical Encyclopedia. A second systemic review in which HIFU was compared to other ablative therapies in the treatment of locally advanced pancreatic cancer was done by Rombouts and colleagues (2015). 2009; 101(1):19-26. Liberman B, Gianfelice D, Inbar Y, et al. High-intensity focused ultrasound for treatment of pancreatic cancer: a systematic review. There are concerns about inconsistent treatment coverage within renal masses resulting in incomplete ablation. Updated Coding, Description, Discussion/General Information, and References. In February 2000, the labeled indication for the SAFHS (now known as the Exogen device) (Smith and Nephew, Inc., Biologics & Spine, Durham, NC) was expanded to include the treatment of established fracture nonunions, excluding the skull and vertebra. Correlation of prostate-specific antigen nadir and biochemical failure after high-intensity focused ultrasound of localized prostate cancer based on the Stuttgart failure criteria - analysis from the @-Registry. Updated Coding section; corrected ICD-10 diagnosis code O41.00X0. One of the largest of these studies was conducted by Ganzer and colleagues (2011). NOTE: Information about the cost of this plan (called the premium) will be . Urology. Added not medically necessary statement for TULSA. $15 UK HEALTHCARE PRIMARY CARE CO-PAY $25 ANTHEM PRIMARY CARE CO-PAY $40 No part of this publication may be reproduced, stored in a retrieval system or transmitted, in any form or by any means, electronic, mechanical, photocopying, or otherwise, without permission from the health plan. Focal high intensity focused ultrasound of unilateral localized prostate cancer: a prospective multicentric hemiablation study of 111 patients. These resources can help members understand their maternity benefits. A statistically significant pain response was reported in 70.7% of this group. 2019; 29(1):299-308. Birth Defects Homepage: Diagnosis. In addition to treatment, these individuals should undergo a sonographic fetal evaluation to evaluate for signs of fetal or placental syphilis. Hematology/Oncology Subcommittee review. Evaluation of quality of life outcomes following palliative treatment of bone metastases with magnetic resonance-guided high intensity focused ultrasound: an international multicentre study. Eligibility included those at least 18 years old with at least a 3-month life expectancy with bone metastases which were painful despite previous radiation therapy (RT) but unsuitable for further RT. A set of individuals who were positive for insignificant disease at 12 months (n=4) or clinically significant disease at 12 months (n=5) required salvage treatment. Siddiqui KM, Billia M, Arifin A, et al. American College of Radiology (ACR). CPT Only - American Medical Association, MED.00057 MRI Guided High Intensity Focused Ultrasound Ablation for Non-Oncologic Indications, CG-SURG-61 Cryosurgical, Radiofrequency or Laser Ablation to Treat Solid Tumors Outside the Liver, https://acsearch.acr.org/docs/69397/Narrative, https://www.auanet.org/guidelines-and-quality/guidelines/renal-mass-and-localized-renal-cancer-evaluation-management-and-follow-up, https://www.astro.org/uploadedFiles/_MAIN_SITE/Patient_Care/Clinical_Practice_Statements/Content_Pieces/ClinicallyLocalizedProstateCancer.pdf, https://www.accessdata.fda.gov/cdrh_docs/pdf15/k153023.pdf, https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm?ID=K172721, https://www.accessdata.fda.gov/cdrh_docs/pdf19/K191200.pdf, https://www.accessdata.fda.gov/cdrh_docs/pdf11/p110039b.pdf, http://www.cancer.org/treatment/understandingyourdiagnosis/bonemetastasis/bone-metastasis-treating-problems-caused, http://www.cdc.gov/cancer/prostate/basic_info/treatment.htm, https://medlineplus.gov/prostatecancer.html, https://www.nlm.nih.gov/medlineplus/palliativecare.html.

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