Corporate Medical Policy - Blue Cross NC
Non-pulsed radiofrequency denervation of cervical facet joints (C3-4 and below) and lumbar ... anatomical level of the spine). Prior success is defined as 50% or more pain relief ... BCBSA Medical Policy Reference Manual [Electronic Version]. 7.01.116, 3/12/2009 .
Tags:
Policy, Manual, Corporate, Medical, Spine, Cervical, Corporate medical policy
Information
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document:
Documents from same domain
Medicare Part D Excluded Drug List - Blue Cross …
www.bluecrossnc.comMEDICARE PART D EXCLUDED DRUGS LIST 2016_updated July 2016 Reason: LIST = multiple reasons it's excluded; "not covered under Part D law". Reason: Not properly listed with FDA = CMS considers it best practice for Part D sponsors to consider the proper listing of a drug product with the FDA as a prerequisite for making a Part D …
Medicare C/D Medical Coverage Policy Electrical ...
www.bluecrossnc.comNeuromuscular Electrical Stimulation (NMES) involves the use of a device that transmits an electrical impulse to the skin over selected muscle groups by way of electrodes. Neuromuscular stimulator devices transmit an electrical impulse to
Electrical, Stimulation, Neuromuscular, Neuromuscular electrical stimulation, Mens
Corporate Medical Policy - Blue Cross NC
www.bluecrossnc.comCorporate Medical Policy Page 1 of 14 An Independent Licensee of the Blue Cross and Blue Shield Association Genetic Cancer Susceptibility Panels Using Next Generation
Policy, Corporate, Cross, Medical, Blue, Blue cross, Corporate medical policy blue cross nc, Corporate medical policy
Non-Formulary Exception Request Form - Blue …
www.bluecrossnc.comMembers HMO: Blue Cross and Blue Shield of North Carolina complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
Cross, Carolina, Blue, Shield, North, Blue cross and blue shield of north carolina
Formulary(L ist of Covered Drugs) - Blue Cross NC
www.bluecrossnc.comi When this drug list (formulary) refers to “we,” “us”, or “our,” it means Blue Cross and Blue Shield of North Carolina. When it refers to “plan” or “our plan,” it means Blue Medicare HMO Essential.
Drug, Blue, Shield, Covered, Formulary, Blue shield, L ist of covered
Prior Authorization Guidelines - Blue Cross NC
www.bluecrossnc.com~ Prior Authorization Guidelines ~ Services marked by a bullet in the columns to the left require prior authorization for the designated line of
Guidelines, Authorization, Prior, Prior authorization, Prior authorization guidelines
PRESCRIBER NAME PRESCRIBER NPI [REQUIRED] …
www.bluecrossnc.comlast revision february 2017 infliximab (remicade®) prior review/certification faxback form incomplete forms may delay processing all nc providers must provide their 5-digit bcbsnc provider id# below
Durable Medical Equipment (DME) Providers for Breast Pumps ...
www.bluecrossnc.com® Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association.
American Dental Association Claim Form - Blue …
www.bluecrossnc.comThe form is designed so that the name and address (Item 3) of the third-party payer receiving the claim (insurance company/dental The following information highlights certain form completion instructions.
Form, American, Claim, Association, Dental, American dental association claim form
Guidelines and Procedures - Blue Cross NC
www.bluecrossnc.comThe medical policy consists of medical guidelines, including diagnostic imaging management policies, payment guidelines and evidence based guidelines.
Related documents
eviCore Spine Imaging Guidelines
www.evicore.comSP-3: Neck (Cervical Spine) Pain Without/With Neurological Features (Including Stenosis) and Trauma 22 ... exercise/stretching program, cross-training, avoidance of aggravating activities, ... Grading of Manual Muscle Testing .
Guidelines, Manual, Exercise, Imaging, Spine, Cervical, Spine imaging guidelines, Cervical spine
Cervical Spine Exercise and Manual Therapy for the ...
cdn.ymaws.comCervical Spine Exercise and Manual Therapy for the Autonomous Practitioner Eric Chaconas PT, PhD, DPT, FAAOMPT Assistant Professor and Assistant Program Director Doctor of Physical Therapy Program Eric Shamus PT, PhD, DPT, CSCS Associate Professor and Chair Department of Rehabilitation Sciences Agenda •Cervical spine screening for sinister ...
Manual, Exercise, Practitioner, Therapy, Spine, Autonomous, Cervical, Cervical spine, Cervical spine exercise and manual, Cervical spine exercise and manual therapy for the autonomous practitioner
Rehabilitation Protocol: Post-Operative Cervical Spinal Fusion
www.lahey.orgAbdominal exercises (monitor cervical spine position), perform basic core strengthening of lumbar spine, (front and side planks) at 10-12 weeks (may start on knees or against wall) - patient dependent Cardiovascular training, treadmill, UBE, stationary bike Address other mechanical restrictions as needed Goals:
International Framework for Examination of the Cervical ...
www.ifompt.orgaddressed through this Framework include mobilisation1, manipulation 2 and exercise. Within the cervical spine, events and presentations of vascular pathologies of the neck are rare (Kranenburg et al, 2017), but are an important consideration as part of an OMT assessment.
BUFFALO CONCUSSION TREADMILL TEST (BCTT) – …
cdn-links.lww.com• Patients who have symptoms at rest , but do not have a physiologic threshold (can exercise to max without increase in concussionspecific symptoms- ) should be evaluated for dysfunction of the cervical spine, vestibular system or temporomandibular region. For more information, please visit concussion.ubmd.com
Exercise, Tests, Spine, Cervical, Buffalo, Treadmill, Cervical spine, Treadmill test
Temporo-Mandibular Joint Complex Exercise Suggestions
www.itandb.com2) Anterior Cranial Rotation Exercise – Chin nods or cervical retraction in a variety of postures can help to maintain normal alignment of the jaw and upper cervical region. Performing these activities in a trunk-flexed position can help to induce relaxation of jaw elevators and retruders.
Exercise, Joint, Promote, Complex, Suggestions, Cervical, Mandibular, Temporo mandibular joint complex exercise suggestions
Protocol for Cervical Fusion Surgeries
www.orthobethesda.comMonitor for excessive cervical spine motion. d. Gentle pec stretching in supine with towel roll behind mid scapular area if this is tolerable. e. Beginning in week 4 at the earliest, cervical AROM in all directions. Gentle, and pain free. f. Sitting-standing, and standing-sitting with emphasis on erect spinal posture. g.
Chiropractic Reference Manual - bcbswny.com
www.bcbswny.comManual therapy: 97140 . We will not reimburse chiropractic, acupuncture or massage therapy providers for manual therapy services. Claims will deny as incidental (provider liability, regardless of a submission with a -59 modifier). Non-reimbursable codes . HCPCS Codes Description 76499 Unlisted diagnostic radiographic procedure