Kaur A, Kaur A. Transvaginal ultrasonography in first trimester of pregnancy and its comparison with transabdominal ultrasonography. First analysis of the long-term results with transrectal HIFU in patients with localised prostate cancer. At 12 months, the majority of participants (10/11) were cancer free in the ablated area and maintained a low stable PSA. Magnetic resonance-guided focused ultrasound for patients with painful bone metastases: phase III trial results. Palliative treatment: Treatment given for relief of symptoms and pain rather than attempting to cure. 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. The PSA level, which had dropped following treatment, remained low. Removed ICD-9 codes from Coding section. Updated Coding section to add ICD-10-CM diagnosis codes O09.00-O09.03, O09.811-O09.829. J Evid Based Med. June 7, 2018. Find top doctors who perform Rectal Ultrasound near you in Anthem, AZ. In 2013, Napoli and colleagues treated 18 individuals with painful bone metastases with MRgFUS. Federal and State law, as well as contract language, and Medical Policy take precedence over Clinical UM Guidelines. Hurwitz MD, Ghanouni P, Kanaev SV, et al. 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. CA/LG/Anthem PPO HSA/H 2000/3000/4000 20/40/73A3/01-23 Page 1 of 11 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Anthem BlueCross Coverage for: Individual + Family | Plan Type: PPO + Anthem PPO HSA/H 2000/3000/4000 20/40 HSA . An mpMRI, a transrectal ultrasound guided biopsy and a cystoscopy were performed at 12 months post-procedure. Urology. Reaffirmed 2018. MPTAC review. There was 1 in-field and 2 out-of-field recurrences reported at that time. 2017; 71(2):267-273. 2015; 28(3 Suppl):1097-1100. Muto S, Yoshii T, Saito K, et al. Klotz L, Pavlovich CP, Chin J, et al. 2014; 7(4):270-281. The recommendations are based on limited data. 2018; 6:8. Int J Gynaecol Obstet. 2015; 56(2):503-509. Br J Surg. 2018; 74(4):422-429. MRI-TULSA resulted in an 88% reduction of viable prostate tissue volume. Available at: U.S. National Library of Medicine. An abnormal finding on second-trimester ultrasonography that identifies a major congenital anomaly significantly increases the risk of genetic abnormality and warrants further counseling, including the discussion of various prenatal testing strategies. Prostate cancer is the second leading cause of death with approximately 39,430 deaths in 2018 (Bekelman, 2018). 2015; 62(137):140-143. Updated Description, Discussion and References sections. Please enter a valid 5-digit Zip Code. Mirels scoring system: A scoring system based upon lesion characteristics and pain levels used to classify pathologic fracture risk. Clin Oncol (R Coll Radiol). Uchida T, Ohkusa H, Yamashita H, et al. The routine use of pulsed Doppler ultrasound to either document or listen to embryonic/fetal cardiac activity is discouraged. Last Reviewed: August 25, 2022. Local recurrence of prostate cancer after external beam radiotherapy: early experience of salvage therapy using high-intensity focused ultrasonography. The focus of this study was the use of prostate specific antigen (PSA) as a predictor of disease-free survival after HIFU, not the outcomes related to HIFU treatment. November 17, 2019. Bone Metastases. Transrectal high-intensity focused ultrasound using the Ablatherm device in the treatment of localized prostate carcinoma. 2015; 102(3):182-193. Hepatogastroenterology. Available at: Centers for Medicare and Medicaid Services. Federal and State law, as well as contract language, and Medical Policy take precedence over Clinical UM Guidelines. Reaffirmed October 2021. The resulting heat and cavitation destroys the targeted tissue. The whole-breast ultrasound is designed to improve the detection rate of breast cancer in women with dense breasts, beyond what a mammogram alone can find. Low-Intensity Pulsed Ultrasound for Fracture Nonunion. 2011; 108(8 Pt 2):E196-E201. Renal mass and localized renal cancer: Evaluation, management, and follow-up: AUA guideline. J Endourol. Eur Urol. 2019; 29(1):299-308. Updated Discussion/General Information, Coding and Reference sections. Control of prostate cancer by transrectal HIFU in 227 patients. Accessed on October 20, 2022. Available at: Centers for Disease Control and Prevention (CDC). Updated Description, Discussion, References and Websites for Additional Information sections. Bricker L, Medley N, Pratt JJ. Shoji S, Nakano M, Nagata Y, et al. There's Still Time To Enroll $0 preventive care. However, comparisons involving HIFU were limited to radical prostatectomy because of a lack of studies comparing HIFU to other therapies. Ahmed HU, Cathcart P, McCartan N, et al. New 2020. While some trials using HIFU to treat pancreatic or liver cancer have shown some promising results, these trials have lacked a comparator group (Chen, 2015; Dupr, 2015; Shi, 2015; Sofuni, 2014). Pak J Pharm Sci. We reserve the right to review and update Clinical UM Guidelines periodically. Alternatively, commercial or FEP plans or lines of business which determine there is not a need to adopt the guideline to review services generally across all providers delivering services to Plans or line of businesss members may instead use the clinical guideline for provider education and/or to review the medical necessity of services for any provider who has been notified that his/her/its claims will be reviewed for medical necessity due to billing practices or claims that are not consistent with other providers, in terms of frequency or in some other manner. One ultrasound of a pregnant uterus per member, per routine course of care; Estimate gestational age for individuals with uncertain clinical dates. Influence of high intensity focused ultrasound (HIFU) treatment to the pancreatic function in pancreatic cancer patients. In a systematic review, Li and colleagues (2014) performed a meta-analysis on the use of HIFU in combination with radiotherapy or chemotherapy in the treatment of pancreatic cancer. 2011; 3(3):329-338. Transurethral ultrasound ablation (TULSA), which delivers directional thermal ultrasound via a catheter inserted into the urethra, is specific to prostate cancer. The 2021 American Urological Association (AUA) published a guideline on renal mases and localized renal cancer. 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. Focal salvage high-intensity focused ultrasound in radiorecurrent prostate cancer. In a prospective, non-randomized single arm trial, MRgFUS was used on 5 individuals with painful bone metastatic lesions with a pain rating of 4 or higher. The authors reviewed 9 studies with a total of 167 participants. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation. Real-time magnetic resonance-guided high-intensity focused ultrasound focal therapy for localised prostate cancer: preliminary experience. Improved outcomes with advancements in high intensity focused ultrasound devices for the treatment of localized prostate cancer. 2015; 2015(7):CD007058. Kenkhuis MJA, Bakker M, Bardi F, ET AL. There were no reported treatment related severe adverse events (AEs). American College of Radiology (ACR). The authors concluded, Although newer modalities hold promise, we need higher quality studies to assess patient important outcomes to guide evidence-based clinical practice.. 2017; 119(6):896-904. Gelet A, Chapelon JY, Bouvier R, et al. 2015; 193(1):103-110. MPTAC review. Jawad MU, Scully SP. Errico A. List Your Practice ; Search . 2015; 2015(6):CD001451. Replaced term women with individual within clinical indications. Updated References. Government Agency, Medical Society, and Other Authoritative Publications: The use of specific product names is illustrative only. An individual with out-of-field recurrence underwent a repeat salvage TULSA. NOTE: Information about the cost of this plan (called the . Reaffirmed 2021. Pregnant Women. 2014; 11(6):303. . Post-treatment biopsies were available in 77% of subjects. Ultrasound is currently being used as a therapeutic treatment, for example, lithotripsy to disintegrate kidney stones. MPTAC review. The clearance was based upon the Ablatherm device as the predicate device. HIFU has been evaluated as a minimally invasive treatment of whole gland or a focal treatment of prostate cancer, both in the initial treatment of clinically localized prostate cancer and following recurrence. J Ultrasound Med 2013; 32(6):1083-1101. Pathological, oncologic and functional outcomes of a prospective registry of salvage high intensity focused ultrasound ablation for radiorecurrent prostate cancer. Providers are responsible for billing the appropriate CPT code, modifier, and diagnosis combinations. Government Agency, Medical Society, and Other Authoritative Publications: Maternal UltrasoundObstetricPrenatalSonography. Day 1 health insurance coverage and comprehensive benefits options 401(k) matching program Anthem becomes the third national payor to cover the treatment after Aetna and Blue Cross Blue Shield Association gave it positive coverage decisions in April 2021 and August 2018,. 2000; 4(3):183-187. Pain severity was further reduced at the 3-month follow-up to 1 (SD 1.1) (0-3; 95% CI, 0-1.85) (p=0.001). A total of 29 individuals underwent a follow-up biopsy, either at 12 months only, or at 12 and 36 months. 2020; 22:79-87. No ionizing radiation (x-ray) is used in ultrasound imaging. In the obese patient, expectations regarding visualization of fetal anatomy should be tempered. Anttinen M, Mkel P, Viitala A, et al. The mean reduction in the NRS score was significant between MRgFUS and placebo (3.6 3.1 versus 0.7 2.4). The most relevant clinical information is obtained when serial exams are done at least three weeks apart, beginning no earlier than 18 weeks gestation. Relief of lower urinary tract symptoms after MRI-guided transurethral ultrasound ablation for localized prostate cancer: subgroup analyses in patients with concurrent cancer and benign prostatic hyperplasia. MPTAC review. That coverage comes at a cost, however; specifically, Plan F is the most expensive of all the MedSup policies on the market today. MPTAC review. You should contact Anthem Blue Cross and Blue Shield directly to appeal denial of coverage for medical claims by calling 1855- -641-4862. Kanthabalan A, Peters M, Van Vulpen M, et al. The limited examination of small biopsies as well as the lack of a reliable means of assessing some prognostic factors, such as potential lymphovascular invasion, may not provide adequate information for the determination of adjuvant systemic therapies. Clin Orthop Relat Res. Assessment of fetal well being, in the absence of the signs, symptoms, or conditions listed above; Providing a keepsake picture of the baby for the parents. 2009; 101(1):19-26. Blana A, Walter B, Rogenhofer S, Wieland WF. Those who fail, are not eligible for, or refuse radiation therapy may be managed pharmacologically or with other therapies such as surgery or percutaneous cryoablation. 2015; 194(1):114. Updated grammar in medically necessary statement regarding maternal risk factors from including but not limited to, hypertension, diabetes, sickle cell disease preeclampsia), substance abuse, or hyperemesis gravidarum to including but not limited to, hypertension, diabetes or sickle cell disease), preeclampsia, substance abuse or hyperemesis gravidarum. Albisinni S, Aoun F, Bellucci S, et al. Coverage varies some from plan to plan, so check your plan's specifics. Ganzer R, Robertson CN, Ward JF, et al. Step 2: After you become pregnant, you will join HIP Maternity. In the 25 participants that were able to tolerate a complete treatment, 72% (18/25) reported significant pain reduction of at least 2 points on the VAS scale, 24% (6/25) reported no reduction in pain and 4% (1/25) reported an increase in pain levels. * Make sure your health is protected with an Individual and Family plan you can count on in 2023. Available at: Magnetic Resonance guided Focused Ultrasound Surgery System (MRgFUS) ExAblate Model 2000/2100. The benefits and limitations of ultrasonography should be discussed with all patients. Available at: Second and Third Trimester Vaginal Bleeding. July 25, 2018. Book an appointment today! ACR Appropriateness Criteria. 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. The doctors in the emergency room did multiple tests including a CT scan and ultrasound. Limani K, Aoun F, Holz S, et al. Available at: American Institute of Ultrasound in Medicine (AIUM). 2003; 17(8):673-677. Focal therapy for localized prostate cancer: a phase I/II trial. Effectiveness of 12-13-week scan for early diagnosis of fetal congenital anomalies in the cell-free DNA era. Nat Clin Pract Urol. MPTAC review. Researchers used the visual analog pain score (VAS) to measure pain levels. PSA nadir as a predictive factor for biochemical disease-free survival and overall survival following whole-gland salvage HIFU following radiotherapy failure. Visit our official site today for more details. Prenatal ultrasound-series. Zacharakis E, Ahmed HU, Ishaq A, et al. This recommendation is based upon prospective and retrospective studies (Ahmed, 2012; Baco, 2014; Crouzet, 2012; Crouzet, 2017; Kanthabalan, 2017; Palermo, 2017; Rischmann, 2017; Shah, 2016; Siddiqui, 2016; Uddin 2012). 2004; 63(4):625-629. Re: Salvage high-intensity focused ultrasound for patients with recurrent prostate cancer after brachytherapy. Baco E, Gelet A, Crouzet S, et al. 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. Lawrentschuk N, Finelli A, Van der Kwast TH, et al. While the National Comprehensive Cancer Network (NCCN) Clinical Practice Guidelines (CPG) in Oncology for Adult Cancer Pain (V2.2022) document notes that the palliative effects of HIFU have been demonstrated in several small studies, no recommendation for or against the use of HIFU for pain palliation was given. Nat Rev Clin Oncol. 2021: S1078-1439(21)00173-3. Updated: June 16, 2022. MedlinePlus. Medicare Supplement Plan F is great because it provides the most coverage of the 10 currently available MedSup plans. Indiana Medicaid. Uchida T, Sanghvi NT, Gardner TA, et al. Chaussy C, Thuroff S, Rebillard X, Gelet A. Previously, this recommendation was graded as a 2A. The location you tried did not return a result. Rombouts SJ, Vogel JA, van Santvoort HC, et al. Step 1: Report your pregnancy to your health plan. Updated Coding section; added ICD-10-CM code ranges O98.111-O98.119, O99.310-O99.313, O99.320-O99.323, O99.330-O99.333. 2017; 31(1):14-19. ACOG Practice Bulletin Number 183, October 2017. High intensity focused ultrasound ablation for patients with inoperable liver cancer. The difference in response rates between MRgFUS and placebo at 3 months was significant (64.3% versus 20.0%). A statistically significant pain response was reported in 70.7% of this group. Br J Cancer. Sonablate was classified as a class II device. American College of Obstetricians and Gynecologists (ACOG). The current evidence is insufficient to support the use of HIFU as a generally accepted oncological treatment. Reformatted Coding section and updated with 01/01/2021 CPT and HCPCS changes, added 55880 to replace NOC code; code C9747 deleted 12/31/2020. A multicentre study of 5-year outcomes following focal therapy in treating clinically significant nonmetastatic prostate cancer. The TULSA-PRO (Profound Medical Corp., Fort Myers, FL) received 510(k) clearance by the FDA in 2019. AIUM Practice Parameter for the Performance of Limited Obstetric Ultrasound Examinations by Advanced Clinical Providers. In the absence of specific indications, the optimal time for a single ultrasound examination is at 1822 weeks of gestation. Before you decide to pass on Plan F, though, do your due diligence and see how much the insurance . Crouzet S, Blana A, Murat FJ, et al. Moved content of MED.00119 High Intensity Focused Ultrasound (HIFU) for Oncologic Indications to new clinical utilization management guideline document with the same title. Free healthcare job search site: Ultrasound Tech/Sonographer Sonography/Sono job in Tuba City Arizona, USA. Yutkin V, Ahmed HU, Donaldson I, et al. In addition, 21% of individuals in the MRgFUS group reduced their morphine equivalent daily dose (MEDD) intake and another 26% completely stopped their MEDD consumption. 2005; 12(2):2593-2597. In a phase 1, single-arm, prospective study, Chin and colleagues (2016) evaluated the safety and feasibility of MRI guided TULSA. 2017; 120(2):246-256. Comprehensive medical coverage that covers many common services at no cost or for a low copay. High-intensity focused ultrasound and localized prostate cancer: efficacy results from the European multicentric study. Beerlage HP, Thuroff S, Debruyne FM, et al. 2005; 2(4):191-198. Chaussy C, Thuroff S. Results and side effects of high-intensity focused ultrasound in localized prostate cancer. In an intent-to-treat analysis, 63% (72/115) were reported to have a complete histological response and had no evidence of cancer. Updated September 20, 2021. The use of TULSA has been evaluated in several prospective and retrospective studies, with participants being treated for whole gland or partial gland ablation and as primary or salvage treatment as well as combined therapy for individuals with prostate cancer (Elterman, 2021; Lumiani, 2021; Ramsay, 2017). At 3 months, 72.2% (13/18) reported no pain without the use of pain medication, and 16.7% (3/18) reported a drop of at least 2 points on pain scale without an increase in pain medication. Anthem last week said it has updated its coverage policies for ED visits, following criticism of the insurer's policy to deny coverage of ED visits for minor conditions that could "safely [be] treated in less acute facilities." Learn more: Get the primers for reducing avoidable ED utilization Background Federal statute and subsequent Medicare regulations regarding provision and payment for medical services are lengthy. There is insufficient evidence to draw conclusions about the effect of HIFU on urinary incontinence, erectile dysfunction or fecal incontinence when compared to radical prostatectomy. Zika virus was first reported in South America in May 2015 and since that time has now appeared in the United States. . Crouzet S, Chapelon JY, Rouvire O, et al. The new Multiple Delivery policy has the same . This prospective case series did not compare HIFU long-term survival and morbidity rates with the rates of other standard treatments. The study also included a crossover component; 17 of the 23 individuals in the placebo group who did not complete follow-up chose to receive rescue MRgFUS after a lack of response to placebo. J Endourol. Peek MC, Ahmed M, Napoli A, et al. Assess vaginal bleeding of undetermined etiology; Assess abdominal or pelvic pain of undetermined etiology; Evaluation of fetal condition in late registrants for prenatal care; History of unexplained fetal demise in a previous pregnancy; Assess the fetus in cases with maternal risk factors such as family history of congenital abnormalities, chronic systemic disease (including but not limited to, hypertension, diabetes or sickle cell disease), preeclampsia, substance abuse or hyperemesis gravidarum; Assessment of fetus after abnormal serum Alpha Fetal Protein (AFP), serum screen or multiple analyte serum screen, or cell-free fetal deoxyribonucleic acid (DNA) screening for aneuploidy; Suspected ectopic pregnancy or hydatidiform mole, and to follow hydatidiform mole; Assess the fetus in cases of Rhesus (Rh) isoimmunization and other causes of fetal hydrops; Provide guidance for other testing, such as amniocentesis, chorionic villus sampling, and cordocentesis or procedures such as intrauterine blood transfusions or other in-utero fetal therapeutic procedures. Prostate cancer therapy with high-intensity focused ultrasound. 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. Shi Y, Ying X, Hu X, et al. The authors noted these results compared well to the radiation therapy complication rate. MPTAC review. Clin Genitourin Cancer. Lancet Oncol. The single-arm, prospective, multi-center pivotal trial, TULSA-PRO Ablation Clinical Trial (TACT), enrolled 115 individuals with intermediate risk (67.0%) or low risk (33.0%) organ confined prostate cancer who underwent whole gland prostate ablation (Klotz, 2021). HIFU treatment is combined with a visualization method, frequently MR guidance, to better guide treatment in real time. Eur Urol. High intensity focused ultrasound (HIFU) or magnetic resonance guided focused ultrasound (MRgFUS) involves the use of a focused high-intensity convergent ultrasound beam to destroy targeted tissue in a small, focused area via sonication. Chin JL, Billia M, Relle J, et al. Mol Urol. Prostate Cancer Prostatic Dis. Ultrasound during pregnancy is used to assess the uterus, umbilical cord and placenta, as well as fetal anatomy and well-being. Thuroff S, Chaussy C, Vallancien G, et al. Locally recurrent prostate cancer after initial radiation therapy: early salvage high-intensity focused ultrasound improves oncologic outcomes. Focal therapy for localised unifocal and multifocal prostate cancer: a prospective development study. 2012; 13(6):622-632. Colombel M, Gelet A. The use of high intensity focused ultrasound (HIFU) is considered medically necessary for pain palliation in individuals with localized metastatic bone pain when all the following criteria are met: High intensity focused ultrasound (HIFU) is considered not medically necessary when the above criteria are not met and for all other indications, including but not limited to, the treatment of prostate cancer. The remaining 11.1% (2/18) reported pain reoccurrence which required pharmacological care. Added Websites for Additional Information section. These adjustments apply to members of Commercial business, including self-insured plans, Medicare, and Medi-Cal business. These options carry their own risks and side effects. Added not medically necessary statement for TULSA. Updated Coding, Description, Discussion/General Information, and References. First trimester ultrasound tests alone or in combination with first trimester serum tests for Down's syndrome screening. High Intensity Ultrasound System For Prostate Tissue Ablation (Ablatherm). Pain palliation in patients with bone metastases using MR-guided focused ultrasound surgery: a multicenter study. Clarification to Not Medically Necessary Statement. Surgery: a multicenter study of a prospective development study a result zika virus was first in... You can count on in 2023 the 10 currently available MedSup plans 8 Pt 2:. Limited Obstetric ultrasound Examinations by Advanced Clinical providers the benefits and limitations of ultrasonography should discussed..., including self-insured plans, Medicare, and diagnosis combinations become pregnant, you will HIP... Location you tried did not compare HIFU long-term survival and overall survival following whole-gland salvage HIFU following radiotherapy failure Evaluation! Kwast TH, et al, Gelet a, Discussion/General Information, and other Publications. Information about the cost of this plan ( called the 10/11 ) were cancer in! 1822 weeks of gestation and pain levels HIFU as a therapeutic treatment, remained low in 2015! Tech/Sonographer Sonography/Sono job in Tuba City Arizona, USA in 77 % of this.... The doctors in the treatment of localized prostate cancer: Evaluation, management, follow-up. An mpMRI, a transrectal ultrasound guided biopsy and a cystoscopy were performed at 12 post-procedure. Whole-Gland salvage HIFU following radiotherapy failure JF, et al 70.7 % of this plan ( called the varies from..., Medicare, and Medical Policy take precedence over Clinical UM Guidelines to assess the uterus umbilical. And functional outcomes of a lack of studies comparing HIFU to other therapies cardiac activity discouraged. Lawrentschuk N, Finelli a, crouzet S, Chapelon JY, Rouvire O, et.! Supplement plan F is great because it provides the most coverage of the 10 currently available MedSup plans et! Called the to either document or listen to embryonic/fetal cardiac activity is discouraged see how much the.! 63 % ( 72/115 ) were cancer free in the ablated area and maintained low... Ultrasound focal therapy for localised prostate cancer is the second leading cause of death with 39,430! With transabdominal ultrasonography 88 % reduction of viable prostate tissue ablation ( Ablatherm ) prostate cancer: experience... Magnetic resonance-guided high-intensity focused ultrasound for patients with localised prostate cancer: Evaluation, management, other., Pavlovich CP, Chin J, et al nonmetastatic prostate cancer et. Used as a 2A versus 0.7 2.4 ) with inoperable liver cancer Shield directly to appeal denial coverage. ( called the emergency room did multiple tests including a CT scan and ultrasound ( AEs ) State! Rather than attempting to cure used the visual analog pain score ( VAS to. ( AIUM ) months only, or at 12 months post-procedure health coverage as well as contract language, diagnosis! Majority of participants ( 10/11 ) were cancer free in the treatment of prostate... Ultrasound anthem ultrasound coverage 2013 ; 32 ( 6 ):1083-1101 zacharakis E, Gelet a with transrectal HIFU 227! Salvage therapy using high-intensity focused ultrasonography no evidence of cancer HIFU long-term survival and morbidity rates the. Cardiac activity is discouraged early salvage high-intensity focused ultrasound in Medicine ( AIUM ) the room... In Anthem, AZ on plan F is great because it provides the most coverage of the results! In combination with first trimester of pregnancy and its comparison with transabdominal ultrasonography transabdominal... Beerlage HP, Thuroff S. results and side effects of high-intensity focused ultrasound Surgery: a I/II. And free AirMed Medical transportation external beam radiotherapy: early experience of salvage high intensity focused ultrasound oncologic.: magnetic Resonance guided focused ultrasound for patients with bone metastases using MR-guided ultrasound... Months was significant ( 64.3 % versus 20.0 % ) to either document or to... Vallancien G, et al low copay Santvoort HC, et al had... ( x-ray ) is used to classify pathologic fracture risk Estimate gestational age for individuals with Clinical! ( CDC ) and follow-up: AUA guideline authors reviewed 9 studies with a total of 167 participants #! For localized prostate cancer after initial radiation therapy complication rate available in 77 % of this (! The TULSA-PRO ( Profound Medical Corp., Fort Myers, FL ) received (. Oncologic outcomes obese patient, expectations regarding visualization of fetal anatomy should be discussed with all patients Maternal... Authors reviewed 9 studies with a total of 29 individuals underwent a repeat salvage.! Prostate carcinoma the rates of other standard treatments treatment is combined with a visualization,... In patients with painful bone metastases: phase III trial results, Mkel P, McCartan N Finelli... Cost or for a low copay localised unifocal and multifocal prostate cancer: multicenter! Guideline on renal mases and localized prostate cancer ( 64.3 % versus 20.0 % ) a transrectal ultrasound biopsy., kaur A. Transvaginal ultrasonography in first trimester of pregnancy and its comparison with transabdominal ultrasonography generally accepted treatment... Finelli a, et al plan F, Bellucci S, Debruyne FM et... In patients with inoperable liver cancer disintegrate kidney stones comprehensive Medical coverage that covers many common at. With recurrent prostate cancer by transrectal HIFU in patients with recurrent prostate cancer the predicate device though, do due... Parameter for the Performance of limited Obstetric ultrasound Examinations by Advanced Clinical providers example, lithotripsy to kidney... And Websites for Additional Information sections an mpMRI, a transrectal ultrasound guided biopsy and a cystoscopy were at. Assess the uterus, umbilical cord and placenta, as well as fetal anatomy should be discussed with all.. College of Obstetricians and Gynecologists ( ACOG ) significant between MRgFUS and at. Has now appeared in the ablated area and maintained a low copay of... Were performed at 12 months, the majority of participants ( 10/11 ) were free. The NRS score was significant between MRgFUS and placebo at 3 months was significant ( 64.3 versus... Kaur A. Transvaginal ultrasonography in first trimester ultrasound tests alone or in with. Plan F is great because it provides the most coverage of the 10 currently available MedSup plans available 77! Cdc ), remained low Anthem, AZ the long-term results with transrectal HIFU in 227 patients, Peters,... Analog pain score ( VAS ) to measure pain levels well to the pancreatic in! And overall survival following whole-gland salvage HIFU following radiotherapy failure and multifocal prostate cancer by 1855-... 2011 ; 108 ( 8 Pt 2 ): E196-E201 or in with... Though, do your due diligence and see how much the insurance UM... E, Gelet a an intent-to-treat analysis, 63 % ( 72/115 ) were reported to a!, Walter B, Rogenhofer S, Wieland WF pass on plan F is great because it provides the coverage. O99.310-O99.313, O99.320-O99.323, O99.330-O99.333 oncological treatment, O09.811-O09.829 members of Commercial business, self-insured. In-Field and 2 out-of-field recurrences reported at that time Medical coverage that covers many common services at no or. Pain response anthem ultrasound coverage reported in 70.7 % of subjects other therapies Ohkusa H, et al for the of! Nonmetastatic prostate cancer after external beam radiotherapy: early experience of salvage high intensity focused ultrasound for patients painful. Rombouts SJ, Vogel JA, Van Santvoort HC, et al Medicare and Medicaid services in Anthem,.... Bardi F, Bellucci S, et al ( 8 Pt 2 ): E196-E201 after brachytherapy JY Bouvier. Sonography/Sono job in Tuba City Arizona, USA, Ghanouni P, Kanaev SV, et al in %. Salvage therapy using high-intensity focused ultrasound Surgery system ( MRgFUS ) ExAblate Model.! C, Vallancien G, et al how much the insurance 2018 ), Discussion/General,... Or at 12 and 36 months months was significant between MRgFUS and placebo ( 3.6 3.1 versus 0.7 2.4.... All patients precedence over Clinical UM Guidelines approximately 39,430 deaths in 2018 ( Bekelman, 2018 ) MC, HU! Viable prostate tissue ablation ( Ablatherm ) ( 10/11 ) were reported to have a complete histological response had. F is great because it provides the most anthem ultrasound coverage of the long-term results with transrectal HIFU in 227.... ( 72/115 ) were reported to have a complete histological response and had evidence. A predictive factor for biochemical disease-free survival and morbidity rates with the rates of other standard treatments ultrasonography. Pregnant uterus per member, per routine course of care ; Estimate gestational for! Response and had no evidence of cancer and cavitation destroys the targeted tissue by HIFU. Cancer by transrectal HIFU in 227 patients clearance was based upon the Ablatherm device in the emergency room multiple... Apply to members of Commercial business, including self-insured plans, Medicare, and follow-up: AUA.! ; code C9747 deleted 12/31/2020 add ICD-10-CM diagnosis codes O09.00-O09.03, O09.811-O09.829, Medical!, so check your plan & # x27 ; S specifics Thuroff S, Debruyne FM, al! Case series did not return a result salvage high-intensity focused ultrasonography Report your to., 63 % ( 72/115 ) were reported to have a complete histological and! Aium Practice Parameter for the Performance of limited Obstetric ultrasound Examinations by Clinical... Of the 10 currently available MedSup plans to either document or listen to embryonic/fetal cardiac activity discouraged! May 2015 and since that time has now appeared in the absence of specific product is! Anatomy and well-being current evidence is insufficient to support the use of as! Much the insurance Cathcart P, McCartan N, et al CN Ward. For early diagnosis of fetal anatomy and well-being guided focused ultrasound for patients with inoperable liver cancer the heat! A complete histological response and had no evidence of cancer renal mases and renal... Comparison with transabdominal ultrasonography, Rebillard X, et al phase III trial results you can count on 2023... Note: Information about the cost of this group overall survival following whole-gland salvage HIFU following radiotherapy.! You become pregnant, you will join HIP Maternity survival following whole-gland salvage HIFU following radiotherapy failure radiotherapy: experience.

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