Transcription of Core Decompression for Avascular Necrosis - …
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Core Decompression for Avascular Necrosis - …
UnitedHealthcare Commercial Medical Policy core Decompression for Avascular Necrosis Policy Number: 2021T0219U. Effective Date: December 1, 2021 Instructions for Use Table of Contents Page Community Plan Policy Coverage Rationale .. 1 core Decompression for Avascular Necrosis Documentation Requirements .. 1. Applicable Codes .. 2 Medicare Advantage Coverage Summary Description of Services .. 2 Joints and Joint Procedures Clinical Evidence .. 3. Food and Drug Administration .. 7. References .. 7. Policy History/Revision Information .. 8. Instructions for Use .. 8. Coverage Rationale core Decompression is proven and medically necessary for treating early (pre-collapse stage I and II) Avascular Necrosis of the femoral head.
dead bone (necrotic lesion). The procedure is designed to decrease pressure within the bone and restoring blood flow to the bone. Bone grafting may or may not be used with core decompression. Severity of avascular necrosis is determined by the staging system based on the consensus of the Subcommittee of
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