Find job postings in CA, NY, NYC, NJ, TX, FL, MI, OH, IL, PA, GA, MA, WA, UT, CO, AZ, SF Bay Area, LA County, USA, North America / abroad. Retroperitoneal ultrasound (US) studies represent the ultrasonic imaging of retroperitoneal organs for the diagnosis and management of abnormalities that occur within the retroperitoneum. A total of 23 studies comprised of 1157 individuals were included. Prostate cancer therapy with high-intensity focused ultrasound. High-intensity focused ultrasound for treatment of pancreatic cancer: a systematic review. An mpMRI, a transrectal ultrasound guided biopsy and a cystoscopy were performed at 12 months post-procedure. This prospective case series did not compare HIFU long-term survival and morbidity rates with the rates of other standard treatments. Schatzl G, Madersbacher S, Djavan B, et al. Albisinni S, Aoun F, Bellucci S, et al. Assess significant discrepancy between uterine size and dates; Follow-up for observation of identified fetal or cord anomaly; Evaluate suspected fetal growth abnormality (either growth restriction or macrosomia), and to follow proven or suspected intrauterine growth restriction; Confirm suspected or follow confirmed diagnosis of polyhydramnios or oligohydramnios; Estimate fetal weight or presentation in premature rupture of membranes or preterm labor; Serial evaluation of fetal growth in multi-fetal pregnancy. Updated: June 16, 2022. Locally recurrent prostate cancer after initial radiation therapy: early salvage high-intensity focused ultrasound improves oncologic outcomes. Last Revised March 16, 2022. Crouzet S, Blana A, Murat FJ, et al. Shah TT, Peters M, Kanthabalan A, et al. Technology insight: High-intensity focused ultrasound for urologic cancers. HIFU or MRgFUS has also been studied as a potential treatment of various cancers. Available at: Centers for Medicare and Medicaid Services. Guidelines for diagnostic imaging during pregnancy and lactation. Systematic review of high-intensity focused ultrasound ablation in the treatment of breast cancer. TULSA is delivered by a system which includes real-time MR thermometry as well as robotically-driven directional thermal ultrasound in a closed loop system to ablate whole gland or targeted areas of the prostate. . The most commonly reported complications included Stress 1 urinary incontinence (18.7%), followed by obstruction of the bladder outlet (16.6%), and acute urinary retention (7.6%). The TULSA-PRO (Profound Medical Corp., Fort Myers, FL) received 510(k) clearance by the FDA in 2019. A statistically significant pain response was reported in 70.7% of this group. 2017; 31(1):14-19. ACOG Practice Bulletin 163. Although use of HIFU or MRgFUS for primary prostate cancer or for prostate cancer metastatic to locations other than bone has not entered the generally accepted standard care for these conditions, treatment of pain related to prostate cancer metastatic to bone may provide benefits to affected men. Liberman and associates (2009) used MRgFUS to treat 31 individuals with painful bone metastases who had exhausted or refused all other pain palliation methods. Prostate Cancer. Uchida T, Ohkusa H, Yamashita H, et al. 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. Adverse events included grade 1 or 2 hematuria, urinary tract infections or acute urinary retention, and grade 3 epididymitis. The American College of Obstetricians and Gynecologists (ACOG) 2018 Practice Bulletin Ultrasound in Pregnancy lists the following recommendations: The following conclusions are based on good and consistent evidence (Level A): The following conclusions are based on limited or inconsistent evidence (Level B): The following conclusion and recommendation are based primarily on consensus and expert opinion (Level C): The American College of Radiology (ACR), the American Institute of Ultrasound in Medicine (AIUM), ACOG, the Society for Maternal Fetal Medicine (SMFM), and the Society of Radiologists in Ultrasound (SRU) practice parameter (2018) notes: A standard obstetrical ultrasound examination in the first trimester includes evaluation of the presence, size, location, and number of gestational sac(s). 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. When services are Not Medically Necessary:For the procedure and diagnosis codes listed above when criteria are not met. Ahmed HU, Zacharakis E, Dudderidge T, et al. Uddin Ahmed H, Cathcart P, Chalasani V, et al. Hemi salvage high-intensity focused ultrasound (HIFU) in unilateral radiorecurrent prostate cancer: a prospective two-centre study. Eur Urol. CA/IND/Anthem Silver 73 HMO/657G/01-22 Page 1 of 12 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered ServicesCoverage Period: 01/01/2022 - 12/31/2022 Anthem BlueCross Coverage for: Individual + Family | Plan Type: HMO Anthem Silver 73 HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Curr Urol Rep. 2003; 4(3):248-252. 2014; 11(6):303. Inclusion or exclusion of a procedure, diagnosis or device code(s) does not constitute or imply member coverage or provider reimbursement policy. ACOG Practice Bulletin Number 183, October 2017. Search doctors, conditions, or procedures . 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 . Two-year results of transurethral resection of the prostate versus four 'less invasive' treatment options. BJU Int. 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. The authors theorized that the high rate of salvage treatment at 3 years follow-up could be attributed to suboptimal staging and treatment. Pain palliation for localized metastatic bone pain Bone pain is a common complaint for individuals with metastatic cancer to the bone. 2021: S1078-1439(21)00173-3. (i.e. Reapproved June 16, 2020. The PSA decreased from a median of 6.26 to 0.53 at 12 months. For other common visits, this is what you'll pay with PPO. 2012; 105(2):198-202. Mirels scoring system: A scoring system based upon lesion characteristics and pain levels used to classify pathologic fracture risk. Post-treatment biopsies were available in 77% of subjects. Br J Surg. Chaussy C, Thuroff S. The status of high-intensity focused ultrasound in the treatment of localized prostate cancer and the impact of a combined resection. MPTAC review. Updated References and Websites for additional information sections. Transurethral ultrasound ablation (TULSA), which delivers directional thermal ultrasound via a catheter inserted into the urethra, is specific to prostate cancer. 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. Approved May 19, 2020. Jawad MU, Scully SP. The document header wording updated from Current Effective Date to Publish Date. Updated Discussion/General Information, References and Websites for Additional Information sections. Updated Description, Discussion, References and Websites for Additional Information sections. Available at: Centers for Disease Control and Prevention (CDC). Centers for Disease Control and Prevention (CDC). Approved August 19, 2021. Thompson I, Thrasher JB, Aus G, et al. MPTAC review. Bricker L, Medley N, Pratt JJ. Anttinen M, Mkel P, Viitala A, et al. Available at: American Cancer Society. The primary endpoint was achieved in 96% (110/115) of participants. MedlinePlus. PLoS One. First clinical experience of intra-operative high intensity focused ultrasound in patients with colorectal liver metastases: a phase I-IIa study. Note: Please see the following related document for additional information: Maternity ultrasound is considered medically necessary for any of the following: Maternity ultrasound is considered not medically necessary for: The following codes for treatments and procedures applicable to this guideline are included below for informational purposes. Updated Coding section; corrected ICD-10 diagnosis code O41.00X0. Geiger D, Napoli A, Conchiglia A, et al. The American Urological Association (AUA) 2007 guideline on prostate cancer notes that conclusions on the outcomes of HIFU cannot be determined as there is minimal data available on this treatment. MR-guided focused ultrasound (MRgFUS) ablation for the treatment of nonspinal osteoid osteoma: a prospective multicenter evaluation. Although I've had a particular monthly claim for YEARS, it doesn't always recognize the bill. Salvage magnetic resonance imaging-guided transurethral ultrasound ablation for localized radiorecurrent prostate cancer: 12-month functional and oncological results. Revised September 16, 2022. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Clin Oncol (R Coll Radiol). NOTE: Information about the cost of this plan (called the . J Ultrasound Med. Errico A. There are concerns about inconsistent treatment coverage within renal masses resulting in incomplete ablation. Rombouts SJ, Vogel JA, van Santvoort HC, et al. The use of HIFU in the setting of breast cancer treatment may not allow for an adequate collection of tumor specimens to evaluate the tumor histopathology. These resources can help members understand their maternity benefits. 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. : 20-EHC022. Available at: Magnetic Resonance guided Focused Ultrasound Surgery System (MRgFUS) ExAblate Model 2000/2100. Updated Coding, Description, Discussion/General Information, and References. Ahhhhh! Kaur A, Kaur A. Transvaginal ultrasonography in first trimester of pregnancy and its comparison with transabdominal ultrasonography. NOTE: Information about the cost of this plan (called the premium) will be . Evaluate for threatened, incomplete, or missed abortion; Non-reassuring fetal heart rate monitoring; Assess amniotic fluid volume in post-term gestation. 1999a; 54(2):273-277. There was 1 in-field and 2 out-of-field recurrences reported at that time. 2018; 51(4):463-469. For pregnant women with laboratory evidence of Zika infection, ultrasound to evaluate for fetal abnormalities consistent with congenital Zika virus syndrome is recommended. You bet! 2010; 468(10):2825-2827. Cancer. MPTAC review. In the obese patient, expectations regarding visualization of fetal anatomy should be tempered. 2017; 119(6):896-904. 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. Prudent use and safety diagnostic ultrasound in pregnancy. Prostate Cancer Prostatic Dis. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation. The benefits and limitations of ultrasonography should be discussed with all patients. Bonekamp and associates (2019) performed a quantitative analysis of viable prostate tissue volume reduction at 12 months post-procedure. 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. 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. American College of Radiology (ACR). AIUM-ACR-ACOG-SMFM-SRU Practice parameter for the performance of standard diagnostic obstetric ultrasound examinations. 2008; 102(7):786-792. Poissonnier L, Chapelon JY, Rouviere O, et al. . Hoosier Healthwise. Sofuni A, Moriyasu F, Sano T, et al. The value of adding a universal booking scan to an existing protocol of routine mid-gestation ultrasound scan. 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). The current standard treatment is external beam radiation therapy (EBRT). This document addresses ultrasound ablative therapy for the treatment of oncologic conditions. They determined that Cloyd had ovarian cysts, not appendicitis. When high-intensity ultrasound waves are used in place of low-intensity, body tissue absorbs, rather than reflects the energy. Treatment of other oncologic indicationsWhen services are Not Medically Necessary:For the following procedure codes; or when the code describes a procedure designated in the Clinical Indications section as not medically necessary. Anthem Blue Cross and Blue Shield - BlueAdvantage POS Colorado Higher Education Insurance Benefits Alliance Trust Coverage for: Individual + Family | Plan Type: HMO . J Pharm Bioallied Sci. 2015; 28(3 Suppl):1097-1100. Ultrasound averages range from $54 to $100. Location: Tuba City<br>We currently have a client in Tuba City, AZ looking for a Licensed Ultrasound Technologist!<br><br>Focus Staff is seeking a traveling Licensed Ultrasound Technologist to perform ultrasound procedures on ambulatory and hospital patients in a physician office, clinic, and hospital setting as requested by a physician or other licensed provider for the diagnosis of disease . The primary endpoint was the proportion of individuals who achieved a 75% or greater reduction in PSA at 12 months post-procedure. 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. In the December 2013 issue of Network Update, you were notified of the following: For claims with dates of service on or after March 17, 2014, Anthem Blue Cross and Blue Shield (Anthem) in Indiana, Kentucky, Missouri, Ohio and Wisconsin (individually referred to herein as the Health Plan), will no longer reimburse CPT code 76942 (Ultrasonic . Cochrane Database Syst Rev. Joo B, Park MS, Lee SH, et al. Recommendations for the management of a pregnant individuals with suspected Zika virus infection include: The 2021 CDC guideline on the treatment of sexually transmitted infections includes management recommendations for individuals who are diagnosed with text in the second half of pregnancy. $0 plans in select areas. Federal and State law, as well as contract language, and Medical Policy take precedence over Clinical UM Guidelines. Ahmed HU, Cathcart P, McCartan N, et al. Temperatures within the targeted area increase to 60-95C, which destroys the targeted tissue without damaging the adjacent tissue. Blana A, Murat FJ, Walter B, et al. Updated Coding section to include ICD-10-CM diagnosis codes Z36.0-Z36.9. Br J Cancer. Rebillard X, Gelet A, Davin JL, et al. Updated Discussion/General Information, Coding and Reference sections. 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. 2000; 37(6):695-701. Available at. Lancet Oncol. In 2015, The U.S. Food and Drug Administration (FDA) approved two devices for use in prostate cancer. ; AUA Prostate Cancer Clinical Guideline Update Panel. 2016; 47(4):530-532. Magnetic resonance imaging-guided transurethral ultrasound ablation in patients with localised prostate cancer: 3-year outcomes of a prospective Phase I study. Cochrane Database Syst Rev. Added not medically necessary statement for TULSA. Urol Oncol. Known or suspected abnormality of placenta: Assess placental location associated with vaginal bleeding; Suspected abnormal placental attachment (placenta accreta); Suspected retained placenta or products of conception. Coverage varies some from plan to plan, so check your plan's specifics. In the absence of specific indications, the optimal time for a single ultrasound examination is at 1822 weeks of gestation. Pain palliation for localized metastatic bone pain. AIUM Practice Parameter for the Performance of Detailed Diagnostic Obstetric Ultrasound Examinations Between 12Weeks 0Days and 13Weeks 6Days. September 15, 2017. Urology. 2010; 468(10):2825-2827. 2014; 114(4):532-540. Step 1: Report your pregnancy to your health plan. Principles and results of high-intensity focused ultrasound for localized prostate cancer. ACR-ACOG-AIUM-SMFM-SRU Practice parameter for the performance of obstetrical ultrasound. Available at: U.S. National Library of Medicine. Medicare Supplement Plan F is great because it provides the most coverage of the 10 currently available MedSup plans. The majority of events were minor and reversible. . Int J Gynaecol Obstet. Transrectal high-intensity focused ultrasound in the treatment of localized prostate cancer: a multicenter study. Approximately 30% of all individuals with cancer develop metastatic bone lesions and 50-75% of these individuals report significant pain. 2012; 118(17):4148-4155. Effects of high-intensity focused ultrasound for treatment of abdominal lymph node metastasis from gastric cancer. ACOG Practice Bulletin Number 229. Free healthcare job search site: Ultrasound Tech/Sonographer Sonography/Sono job in Tuba City Arizona, USA. Reaffirmed October 2021. HIFU treatment is combined with a visualization method, frequently MR guidance, to better guide treatment in real time. Siddiqui KM, Billia M, Arifin A, et al. Breast MRI costs an average $615 under Medicare . American College of Obstetricians and Gynecologists (ACOG). Reaffirmed 2018. Available at. Systematic review of innovative ablative therapies for the treatment of locally advanced pancreatic cancer. Updated Coding section with 10/01/2020 ICD-10-CM changes; added O99.891; removed Q51.20 deleted 09/30/2020. 2020; 22:79-87. Ultrasound imaging can be used after delivery to evaluate abnormalities of the reproductive and adjacent structures. You can learn about each program by clicking on the links below: Healthy Indiana Plan. Peek and associates (2015) conducted a systematic review of the use of HIFU in breast cancer. We are now accepting all Anthem Blue Cross Blue Shield patients. 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, respectively. 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. Available at: AUA / American Society for Radiation Oncology (ASTRO) / Society of Urologic Oncology (SUO). -12/31/2022 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual + Family | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan.The SBC shows you how you and the plan would share the cost for covered health care services. Moved content of MED.00119 High Intensity Focused Ultrasound (HIFU) for Oncologic Indications to new clinical utilization management guideline document with the same title. Jpn J Clin Oncol. Medical Policy & Technology Assessment Committee (MPTAC) review. Surgery: MRgFUS-non invasive treatment for patients with painful bone metastasis. One of the largest of these studies was conducted by Ganzer and colleagues (2011). Reviewed and validity confirmed 2011. The routine use of pulsed Doppler ultrasound to either document or listen to embryonic/fetal cardiac activity is discouraged. Anthem has begun denying coverage for . Focal therapy with high-intensity-focused ultrasound in the treatment of localized prostate cancer. Local recurrence of prostate cancer after external beam radiotherapy: early experience of salvage therapy using high-intensity focused ultrasonography. Ultrasound is currently being used as a therapeutic treatment, for example, lithotripsy to disintegrate kidney stones. Updated Coding section with 10/01/2022 ICD-10-CM changes; added O35.00X0-O35.9XX9 replacing O35.0XX0-O35.9XX9. In some states, insurance must cover . Initial document development. 2008; 38(3):192-199. Five years experience of transrectal high-intensity focused ultrasound using the Sonablate device in the treatment of localized prostate cancer. Nat Rev Clin Oncol. MPTAC review. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia . Removed ICD-9 codes from Coding section. Please enter a valid 5-digit Zip Code. In the first phase III study published, Hurwitz and colleagues (2014) conducted a randomized, placebo-controlled, single-blind, multicenter, pivotal trial which included 147 participants with bone metastases from breast, prostate, kidney, lung or other primary tumors. Sexually Transmitted Infections Treatment Guidelines, 2021. Management of renal masses using this modality is poorly defined due to a lack of published studies and lack of long-term follow-up (AUA, 2021). Last Reviewed: August 25, 2022. ACOG Practice Bulletin 175. Ultrasound improves oncologic outcomes Sonography/Sono job in Tuba City Arizona, USA Centers for Disease Control and Prevention ( )! 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Madersbacher S, Djavan B, Park MS, Lee SH, et.!, Bellucci S, Blana a, Murat FJ, et al destroys the targeted area to! Syndrome is recommended % ( 110/115 ) of participants ACOG ) improves oncologic outcomes is with. 2015 ) conducted a systematic review at 12 months post-procedure endpoint was achieved in 96 % ( 110/115 ) participants! Achieved in 96 % ( 110/115 ) of participants of standard diagnostic ultrasound! Localised prostate cancer body tissue absorbs, rather than reflects the energy common complaint for individuals with metastatic cancer the. Greater reduction in PSA at 12 months standard treatments geiger D, Napoli a Murat. 50-75 % of these individuals Report significant pain intra-operative high intensity focused ultrasound ablation in patients with colorectal liver:. For threatened, incomplete, or missed abortion ; Non-reassuring fetal heart rate monitoring Assess.: 12-month functional and oncological results ultrasound guided biopsy and a cystoscopy performed! Of prostate cancer: a prospective multicenter evaluation adding a universal booking scan to existing.
