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Intensity-Modulated Radiation Therapy - UHCprovider.com
by the Radiation Therapy Oncology Group (RTOG) or QUANTEC guidelines ) and demonstrated on a comparison of ... For additional coding guidance, refer to the related Reimbursement Policies titled . ... Image-guided radiation therapy (IGRT) employs imaging to maxmi ize accuracy and precision throughout the entire process of treatment delivery ...
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Coverage Summary - UHCprovider.com Home
www.uhcprovider.comThe benefit information in this Coverage Summary is based on existing national coverage ... Also see the Medicare Prescription Drug Benefit Manual,Chapter 6, ...
UnitedHealthcare Group Medicare Advantage …
www.uhcprovider.comUnitedHealthcare® Group Medicare Advantage (PPO) Plan Network Care Provider Quick Reference Guide Insurance coverage provided by or through UnitedHealthcare Insurance Company or its affiliates.
Shoulder Replacement Surgery (Arthroplasty)
www.uhcprovider.comShoulder Replacement Surgery (Arthroplasty) ... FDA-approved reverse shoulder replacement surgery devices are generally approved for gross rotator cuff deficiency. The patient's joint must be anatomically and structurally suited to receive the selected implant(s), and a functional
NEUROMUSCULAR ELECTRICAL STIMULATION …
www.uhcprovider.comNeuromuscular Electrical Stimulation (NMES) (NCD 160.12) Page 2 of 3 UnitedHealthcare Medicare Advantage Policy Guideline Approved 08/09/2017
APREPITANT FOR CHEMOTHERAPY-INDUCED …
www.uhcprovider.comChemotherapy-induced nausea and vomiting (CINV) can range from mild to severe, with the most severe cases resulting in dehydration, malnutrition, metabolic imbalances, and potential withdrawal from future chemotherapy
Clinical Performance Guideline Medical Fertility Solutions ...
www.uhcprovider.comClinical Performance Guideline Fertility Solutions Infertility Medical Necessity Guideline Purpose: To provide an understanding of infertility treatment, issues surrounding infertility surgery, and issues surrounding multiple embryo transfers among individuals faced with the potential loss of fertility.
EXTRACORPOREAL SHOCK WAVE TREATMENT (ESWT)
www.uhcprovider.comExtracorporeal Shock Wave Treatment (ESWT) Page 1 of 4 ... Extracorporeal shock wave therapy (ESWT), using either a high- or low-dose protocol or a radial wave, is considered not medically necessary for all indications, including but not limited to the treatment of:
Pervasive Developmental Disorder and Autism Spectrum …
www.uhcprovider.comPervasive Developmental Disorder and Autism Spectrum Disorder: Benefit Interpretation Policy (Effective 01/01/2018) 3 Proprietary Information of UnitedHealthcare.
Pervasive Developmental Disorder and Autism Spectrum …
www.uhcprovider.compervasive developmental disorders include autism, Rett's disorder, childhood disintegrative disorder, Asperger's disorder, and unspecified pervasive developmental disorder. E. …
Approval Date: October 10, 2018 - UHCprovider.com Home
www.uhcprovider.comRetinal Prosthesis Page 1 of 3 UnitedHealthcare Medicare Advantage Policy Guideline Approved 10/10/2018 Proprietary Information of UnitedHealthcare.
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NIA RADIATION ONCOLOGY CODING STANDARD Image …
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Radiation Oncology Reimbursement and Codi iding Basics
static.aapc.comX-ray film or electronically stored image. Radiation Oncology Coding Basics 5 • Radiation treatment management Radiation treatment management represents the Radiation Treatment Management Codes di i radiation oncologist’s professional contribution to patient management during a course of external beam radiation.
IMAGE GUIDED RADIATION THERAPY CODING AND …
www.astro.orgting, 0197T is considered image guidance and is packaged into the primary service payment. These IGRT codes describe the work performed by the physician and radiation staff prior to therapy to assure accuracy of localization of the target volume. ASTRO coding guidelines indicate that image fusion is required for the accurate super-
Radiology - Home | Harvard Pilgrim Health Care
www.harvardpilgrim.org0333 Radiation therapy 034X Nuclear medicine 035X CT Scan 040X Other imaging services 061X Magnetic resonance technology 74261, 74262 CT colonography, diagnostic, including image postprocessing; with and without contrast Prior authorization is required 75571 Computed tomography, heart, without contrast