Transcription of Implanted Electrical Stimulator for Spinal Cord ...
{{id}} {{{paragraph}}}
Example: biology
Implanted Electrical Stimulator for Spinal Cord ...
Impla nted Electr ica l Stimula tor for Spina l Cor d Page 1 of 4 UnitedHea lthca r e Commer cia l Medica l Policy Effective 11/01/2021 Proprietary Information of UnitedHealthcare. Copyright 2021 United HealthCare Services, Inc. UnitedHealthcare Commercial Med i ca l P ol i cy Implanted Electrical Stimulator for Spinal cord Policy Number: 2021T0567R Effective Date: Nov e mber 1, 2021 Instructions for Use Table of Contents Page Coverage Rationale .. 1 Documentation 1 Applicable Codes .. 3 Food and Drug Administration .. 3 Policy History/Revision 4 Instructions for Use .. 4 Coverage Rationale Implanted Electrical Spinal cord stimulators, including high-frequency Spinal cord stimulators and burst Spinal cord stimulators are proven and medically necessary for treating the following indications: Complex regional pain syndrome (CRPS) Failed back surgery syndrome Implanted Electrical Spinal cord stimulators are unproven and not medically necessary for treating the following indications: Diabetic Neuropathy Refractory a
Stimulator (SCS) Insertion. Click . here to view the InterQual ® criteria. Note: • Coverage of a replacement battery/generator for a previously impal nted electrical stimual tor is appropriate when the individual’s existing battery/generator is malfunctionni g, cannot be repaired, and is no longer under warranty.
Loading..
Tags:
Information
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document: