This study was a retrospective case series involving 804 subjects who underwent HIFU and were included in an industry-sponsored registry. Cochrane Database Syst Rev. 2018. Previously, CDC recommended serial ultrasounds every 3-4 weeks for women with laboratory evidence of Zika virus infection based on existing fetal growth monitoring for other maternal conditions (e.g., hypertension or diabetes). . Comprehensive medical coverage that covers many common services at no cost or for a low copay. Available at: U.S. National Library of Medicine. Approved May 19, 2020. 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). MPTAC review. The remaining 11.1% (2/18) reported pain reoccurrence which required pharmacological care. MPTAC review. Ultrasound abnormalities have been detected in the fetus from 2 to 29 weeks after symptom onset, and therefore, insufficient data are available to define the optimal timing between exposure and initial sonographic screening. One of the largest of these studies was conducted by Ganzer and colleagues (2011). August 27, 2020. 2016; 70(3):447-455. 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,. Napoli A, Anzidei M, De Nunzio C, et al. * From Jawad MU, Scully SP. Blana A, Walter B, Rogenhofer S, Wieland WF. 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. Ultrasound in pregnancy. But in general, know that most plans cover: STD testing; Rh incompatibility testing; Prenatal vitamins; Gestational diabetes testing; Breastfeeding counseling and equipment; Post-birth birth control; Birth; Medical coverage of any complications; Dependent Care Accounts 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,. Whitworth M, Bricker L, Mullan C. Ultrasound for fetal assessment in early pregnancy. Limani K, Aoun F, Holz S, et al. 2000; 14(6):519-528. The mean follow-up period was 6.4 years (range, 0.2-13.9). Urology. 15727 Anthem Pkwy, Suite 600 . June 7, 2018. These options carry their own risks and side effects. Birth Defects Homepage: Diagnosis. Transrectal high-intensity focused ultrasound in the treatment of localized prostate cancer. High-intensity focused ultrasound (HIFU) followed after one to two weeks by radical retropubic prostatectomy: results of a prospective study. Pain palliation for localized metastatic bone pain Bone pain is a common complaint for individuals with metastatic cancer to the bone. 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. Government Agency, Medical Society, and Other Authoritative Publications: The use of specific product names is illustrative only. New 2020. A complete resolution of pain at 1 year follow-up was shown in 2 participants (Joo, 2015). MPTAC review. . Indiana Medicaid for Members. Anthem BlueCross Coverage for: Individual + Family | Plan Type: HMO Anthem Value Ded HMO 750/25/40/25% The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 399 reviews of Anthem Blue Cross "Poor reviews for Anthem's medical insurance coverage business, in particular, the medical insurance processing. Eur Urol. Due to variances in utilization patterns, each plan may choose whether to adopt a particular Clinical UM Guideline. 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. 2014; 114(4):532-540. Non-Contact Ultrasound Treatment for Wounds; Non-Oncologic Uses of Rituximab (Rituxan) Nutritional Treatment of Childhood Medical Conditions; Ophthalmologic Techniques for Evaluating Glaucoma; Optical Diagnostic Devices for Evaluating Skin Lesions Suspected of Malignancy ; Oral Lesion Identification System (ViziLite, Velscope) Liberman and associates (2009) used MRgFUS to treat 31 individuals with painful bone metastases who had exhausted or refused all other pain palliation methods. Hinyokika Kiyo. There were no treatment-related AEs. Palliative treatment: Treatment given for relief of symptoms and pain rather than attempting to cure. 2011; 185(3):862-868. The current evidence is insufficient to support the use of HIFU as a generally accepted oncological treatment. HIFU therapy was included in a comparative effectiveness review of clinically localized prostate cancer treatments (Dahm, 2020). High-intensity focused ultrasound for the treatment of localized prostate cancer: 5-year experience. Available at: Centers for Medicare and Medicaid Services. Uchida T, Ohkusa H, Yamashita H, et al. MPTAC review. 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. American College of Obstetricians and Gynecologists (ACOG). Twelve-month prostate volume reduction after MRI-guided transurethral ultrasound ablation of the prostate. J Natl Cancer Inst. According to the FDA labeling, a nonunion is considered to be established when the fracture site shows no visibly progressive signs of healing. As the bone cortex absorbs high ultrasound energy, periosteal denervation may ensue, resulting in pain relief. (i.e. Mol Urol. 2010; 468(10):2825-2827. ultrasound). This prospective case series did not compare HIFU long-term survival and morbidity rates with the rates of other standard treatments. Under the benefits of certain plans, the following diagnostic imaging services that are received in an outpatient setting, such as in a medical office, the outpatient department of a hospital or at a freestanding imaging center may require prior approval (for dates of service on or after February 15, 2007 for Blue Cross NC commercial plans and September 1, 2010 for Blue Medicare HMO and Blue . AIUM-ACR-ACOG-SMFM-SRU Practice parameter for the performance of standard diagnostic obstetric ultrasound examinations. 2006b; 97(1):56-61. Magnetic resonance-guided focused ultrasound for patients with painful bone metastases: phase III trial results. 2004; 7(4):289-294. 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. 2004; 63(4):625-629. 2004; 58(4):382-390. *Coverage includes fertility preservation . Search doctors, conditions, or procedures . MedlinePlus. Low-Intensity Pulsed Ultrasound for Fracture Nonunion. ACOG Practice Bulletin Number 171. The location you tried did not return a result. Available at: Papageorghiou AT, Thilaganathan B, Bilardo CM, et al. It is likely that both of these treatment effects contribute to pain relief. Pain palliation for localized metastatic bone pain. Re: Salvage high-intensity focused ultrasound for patients with recurrent prostate cancer after brachytherapy. Prostate cancer is the second leading cause of death with approximately 39,430 deaths in 2018 (Bekelman, 2018). TULSA was developed as an alternative method of prostate tissue ablation. Updated Description, Discussion and References sections. Five years experience of transrectal high-intensity focused ultrasound using the Sonablate device in the treatment of localized prostate cancer. J Urol. As of January 10, 2022, through January 31, 2022, Anthem and its delegated entities will suspend select prior authorization requirements to allow healthcare providers to focus on caring for patients diagnosed with COVID-19. Updated Discussion/General Information, Coding and Reference sections. Sofuni A, Moriyasu F, Sano T, et al. Technology insight: High-intensity focused ultrasound for urologic cancers. Focal high intensity focused ultrasound of unilateral localized prostate cancer: a prospective multicentric hemiablation study of 111 patients. Uchida T, Tomonaga T, Kim H, et al. Locally recurrent prostate cancer after initial radiation therapy: early salvage high-intensity focused ultrasound improves oncologic outcomes. Focal salvage high-intensity focused ultrasound in radiorecurrent prostate cancer. MPTAC review. Safety trial of high-intensity focused ultrasound therapy for pancreatic cancer. Available at: Second and third trimester screening for fetal anomaly. Revised 2020. MPTAC review. Lawrentschuk N, Finelli A, Van der Kwast TH, et al. Reformatted Coding section. The 2021 American Urological Association (AUA) published a guideline on renal mases and localized renal cancer. J Endourol. Available at: Antepartum Fetal surveillance. Please refer to the member's contract benefits in effect at the time of service to determine coverage or non-coverage of these services as it applies to an individual member. High-intensity focused ultrasound and localized prostate cancer: efficacy results from the European multicentric study. Sexually Transmitted Infections Treatment Guidelines, 2021. The prospective, nonrandomized, investigator-initiated, single-arm, single-center phase 1 study included 11 individuals with localized, histopathologically verified, radio-recurrent prostate cancer. Available at. Colombel M, Gelet A. Approximately 30% of all individuals with cancer develop metastatic bone lesions and 50-75% of these individuals report significant pain. Placenta Accreta Spectrum. Anthem has stopped covering patients in nine states 1 for MRI and CT scans performed in hospital outpatient settings - unless the exam qualifies for an "exception." On Nov. 15, Anthem will start retroactive reviews of MRI and/or CT services done in emergency departments in Missouri, Ohio and Kentucky. Pregnant Women. New reimbursement policy: Maternity Services and Multiple Delivery (Professional) Beginning with dates of service on or after December 1, 2019, Anthem's current Routine Obstetrics policy will be retired and will be replaced by the new Maternity Services policy and the new Multiple Delivery policy. Replaced term women with individual within clinical indications. Committee Opinion 723. First clinical experience of intra-operative high intensity focused ultrasound in patients with colorectal liver metastases: a phase I-IIa study. Inclusion or exclusion of a procedure, diagnosis or device code(s) does not constitute or imply member coverage or provider reimbursement policy. 2008; 53(6):1194-1201. There are currently more than 125 Treatment Centers around the world using Insightec's Exablate Neuro platform to treat Essential Tremor. The bone metastases arose from a variety of primary tumors including renal, colorectal, lung, breast and prostate. Poissonnier L, Chapelon JY, Rouviere O, et al. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation. Pain severity was measured using a 10-point pain scale questionnaire. Available at: Centers for Disease Control and Prevention (CDC). 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. Focal therapy for localized prostate cancer: a phase I/II trial. The five HIFU trials included a total of only 136 individuals. Bone pain is a common complaint for individuals with metastatic cancer to the bone. Minerva Urol Nefrol. 2017; 197(1):97-102. Inclusion or exclusion of a procedure, diagnosis or device code(s) does not constitute or imply member coverage or provider reimbursement policy. If maternal testing does not suggest infection, patients should receive the same ultrasound screening as any other pregnant woman as part of standard routine prenatal care. Updated References and Websites for additional information sections. For appeals related to well-being incentive credits, Ultrasound imaging, also called ultrasound scanning or sonography, is a method of obtaining images of internal organs by sending high-frequency sound waves into the body. The PSA decreased from a median of 6.26 to 0.53 at 12 months. BJU Int. Clin Oncol (R Coll Radiol). 2005; 12(2):2593-2597. penn state calendar 2022, Moriyasu F, Sano T, et al include prescription drug and behavioral health coverage as well as telemedicine and. Patterns, each plan may choose whether to adopt a particular Clinical Guideline... Publications: the use of HIFU as a generally accepted oncological treatment is to. 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