2010; 468(10):2825-2827. That coverage comes at a cost, however; specifically, Plan F is the most expensive of all the MedSup policies on the market today. Transrectal high-intensity focused ultrasound using the Ablatherm device in the treatment of localized prostate carcinoma. ultrasound). Clin Orthop Relat Res. Nat Rev Clin Oncol. Clarification to Not Medically Necessary Statement. Uchida T, Sanghvi NT, Gardner TA, et al. Updated References and Websites for additional information sections. Sexually Transmitted Infections Treatment Guidelines, 2021. There were no treatment-related AEs. No. While the National Comprehensive Cancer Network (NCCN) Clinical Practice Guidelines (CPG) in Oncology for Adult Cancer Pain (V2.2022) document notes that the palliative effects of HIFU have been demonstrated in several small studies, no recommendation for or against the use of HIFU for pain palliation was given. Ultrasound in pregnancy. Chaussy C, Thuroff S. Results and side effects of high-intensity focused ultrasound in localized prostate cancer. Available at: Centers for Disease Control and Prevention (CDC): How is Prostate Cancer Treated? 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). Primary pain palliation and local tumor control in bone metastases treated with magnetic resonance-guided focused ultrasound. Focal therapies are proposed as less invasive treatment options when compared to radical prostatectomy or radiation therapy. NOTE: Information about the cost of this plan (called the . 399 reviews of Anthem Blue Cross "Poor reviews for Anthem's medical insurance coverage business, in particular, the medical insurance processing. Updated Coding section with 10/01/2016 ICD-10-CM diagnosis code changes. Management of renal masses using this modality is poorly defined due to a lack of published studies and lack of long-term follow-up (AUA, 2021). In the absence of specific indications, the optimal time for a single ultrasound examination is at 1822 weeks of gestation. American College of Obstetricians and Gynecologists (ACOG). Prostate Cancer (V1.2023). High intensity focused ultrasound (HIFU): A surgical procedure that uses focused high energy sound waves to destroy target tissues in the body. There was 1 in-field and 2 out-of-field recurrences reported at that time. PSA nadir as a predictive factor for biochemical disease-free survival and overall survival following whole-gland salvage HIFU following radiotherapy failure. Int J Urol. Updated Description, Discussion, References and Websites for Additional Information sections. Alldred SK, Takwoingi Y, Guo B, et al. An mpMRI, a transrectal ultrasound guided biopsy and a cystoscopy were performed at 12 months post-procedure. Federal and State law, as well as contract language, and Medical Policy take precedence over Clinical UM Guidelines. The benefits and limitations of ultrasonography should be discussed with all patients. Reformatted Coding section. Liberman B, Gianfelice D, Inbar Y, et al. Updated Coding, Description, Discussion/General Information, and References. 2017; 3:CD012600. Effects of high-intensity focused ultrasound for treatment of abdominal lymph node metastasis from gastric cancer. Approximately 30% of all individuals with cancer develop metastatic bone lesions and 50-75% of these individuals report significant pain. Ahhhhh! Specific findings associated with congenital Zika syndrome include intracranial calcifications, microcephaly, ventriculomegaly, arthrogryposis; abnormalities of the corpus callosum, cerebrum, cerebellum, and eyes; and other brain abnormalities. The new Multiple Delivery policy has the same . Assess significant discrepancy between uterine size and dates; Follow-up for observation of identified fetal or cord anomaly; Evaluate suspected fetal growth abnormality (either growth restriction or macrosomia), and to follow proven or suspected intrauterine growth restriction; Confirm suspected or follow confirmed diagnosis of polyhydramnios or oligohydramnios; Estimate fetal weight or presentation in premature rupture of membranes or preterm labor; Serial evaluation of fetal growth in multi-fetal pregnancy. Beerlage HP, van Leenders GJ, Oosterhof GO, et al. 2012; 118(12):3071-3078. The maternal cervix and adnexa should be examined. Ideally the ultrasound is done at the same appointment as the screening mammogram. July 23, 2021. 2005; 4(3):187-192. Prenatal ultrasound-series. Dupr A, Melodelima D, Prol D, et al. It is likely that both of these treatment effects contribute to pain relief. The price of a diagnostic mammogram averages from $172 under Medicare to $239 with private insurance. * From Jawad MU, Scully SP. 2008; 102(7):786-792. The system protects the urethra and rectum via a water cooling system pumped through the applicator. 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. American Urological Association (AUA). ACR Appropriateness Criteria. 2009; 101(1):19-26. The most relevant clinical information is obtained when serial exams are done at least three weeks apart, beginning no earlier than 18 weeks gestation. Thuroff S, Chaussy C. High-intensity focused ultrasound: complications and adverse events. BJU Int. 2017; 31(1):14-19. The authors reviewed 9 studies with a total of 167 participants. 2021. HIFU has been proposed as a treatment for multiple oncologic conditions. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia . Br J Cancer. Zacharakis E, Ahmed HU, Ishaq A, et al. Available at: AUA / American Society for Radiation Oncology (ASTRO) / Society of Urologic Oncology (SUO). HIFU is a non-invasive ablative procedure which has the advantage of sparing surrounding tissue which may reduce postoperative morbidity and hasten recovery. Anthem - Blue Cross Blue Shield Long awaited and much anticipated? 2017; 71(2):267-273. Crouzet S, Blana A, Murat FJ, et al. 2010; 17(8):715-719. At various gestational ages, ultrasound examination is an accurate method of determining gestational age, fetal number, viability, and placental location, and it is recommended for all pregnant patients. Joo B, Park MS, Lee SH, et al. Eur Urol. In an intent-to-treat analysis, 63% (72/115) were reported to have a complete histological response and had no evidence of cancer. Salvage magnetic resonance imaging-guided transurethral ultrasound ablation for localized radiorecurrent prostate cancer: 12-month functional and oncological results. Birth Defects Homepage: Diagnosis. 510K Premarket notification. ISUOG Interim Guidance on ultrasound for Zika virus infection in pregnancy: information for healthcare professionals. The bone metastases arose from a variety of primary tumors including renal, colorectal, lung, breast and prostate. This prospective case series did not compare HIFU long-term survival and morbidity rates with the rates of other standard treatments. Prostate cancer is the most commonly diagnosed cancer in men, accounting for 19% of all new cancer cases. Reviewed and validity confirmed 2011. Real-time magnetic resonance-guided high-intensity focused ultrasound focal therapy for localised prostate cancer: preliminary experience. Indiana Medicaid for Members. Boccon-Gibod L, Djavan WB, Hammerer P, et al. U.S. Food and Drug Administration (FDA). BJU Int. Prostate Cancer. The prospective, nonrandomized, investigator-initiated, single-arm, single-center phase 1 study included 11 individuals with localized, histopathologically verified, radio-recurrent prostate cancer. Prostate cancer is the second leading cause of death with approximately 39,430 deaths in 2018 (Bekelman, 2018). Poggenpoel EJ, Geerts LT, Theron GB. The following codes for treatments and procedures applicable to this guideline are included below for informational purposes. Similar to prostate cancer, there is a lack of randomized trials comparing HIFU to standard treatment options. Available at: Magnetic Resonance guided Focused Ultrasound Surgery System (MRgFUS) ExAblate Model 2000/2100. Cochrane Database Syst Rev. CPT Only - American Medical Association, MED.00057 MRI Guided High Intensity Focused Ultrasound Ablation for Non-Oncologic Indications, CG-SURG-61 Cryosurgical, Radiofrequency or Laser Ablation to Treat Solid Tumors Outside the Liver, https://acsearch.acr.org/docs/69397/Narrative, https://www.auanet.org/guidelines-and-quality/guidelines/renal-mass-and-localized-renal-cancer-evaluation-management-and-follow-up, https://www.astro.org/uploadedFiles/_MAIN_SITE/Patient_Care/Clinical_Practice_Statements/Content_Pieces/ClinicallyLocalizedProstateCancer.pdf, https://www.accessdata.fda.gov/cdrh_docs/pdf15/k153023.pdf, https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm?ID=K172721, https://www.accessdata.fda.gov/cdrh_docs/pdf19/K191200.pdf, https://www.accessdata.fda.gov/cdrh_docs/pdf11/p110039b.pdf, http://www.cancer.org/treatment/understandingyourdiagnosis/bonemetastasis/bone-metastasis-treating-problems-caused, http://www.cdc.gov/cancer/prostate/basic_info/treatment.htm, https://medlineplus.gov/prostatecancer.html, https://www.nlm.nih.gov/medlineplus/palliativecare.html. J Ther Ultrasound. Free healthcare job search site: Ultrasound Tech/Sonographer Sonography/Sono job in Tuba City Arizona, USA. Anttinen M, Mkel P, Viitala A, et al. Cancer. Can J Urol. The value of adding a universal booking scan to an existing protocol of routine mid-gestation ultrasound scan. 2011; 3(3):329-338. After excluding the drop-out groups the results remained similarly statistically significant. MPTAC review. Whole-gland salvage high-intensity focused ultrasound therapy for localized prostate cancer recurrence after external beam radiation therapy. These options carry their own risks and side effects. Assess vaginal bleeding of undetermined etiology; Assess abdominal or pelvic pain of undetermined etiology; Evaluation of fetal condition in late registrants for prenatal care; History of unexplained fetal demise in a previous pregnancy; Assess the fetus in cases with maternal risk factors such as family history of congenital abnormalities, chronic systemic disease (including but not limited to, hypertension, diabetes or sickle cell disease), preeclampsia, substance abuse or hyperemesis gravidarum; Assessment of fetus after abnormal serum Alpha Fetal Protein (AFP), serum screen or multiple analyte serum screen, or cell-free fetal deoxyribonucleic acid (DNA) screening for aneuploidy; Suspected ectopic pregnancy or hydatidiform mole, and to follow hydatidiform mole; Assess the fetus in cases of Rhesus (Rh) isoimmunization and other causes of fetal hydrops; Provide guidance for other testing, such as amniocentesis, chorionic villus sampling, and cordocentesis or procedures such as intrauterine blood transfusions or other in-utero fetal therapeutic procedures. Updated: June 16, 2022. 2005; 2(4):191-198. American College of Obstetricians and Gynecologists (ACOG). For other common visits, this is what you'll pay with PPO. Bricker L, Medley N, Pratt JJ. Reaffirmed October 2021. The limited examination of small biopsies as well as the lack of a reliable means of assessing some prognostic factors, such as potential lymphovascular invasion, may not provide adequate information for the determination of adjuvant systemic therapies. BJU Int. Although use of HIFU or MRgFUS for primary prostate cancer or for prostate cancer metastatic to locations other than bone has not entered the generally accepted standard care for these conditions, treatment of pain related to prostate cancer metastatic to bone may provide benefits to affected men. Urology. Find a doctor near you. In brief: classifications in brief: Mirels' classification: metastatic disease in long bones and impending pathologic fracture. Rejection notice to me (if I'm lucky) and I start over. Quality of life following high-intensity focused ultrasound for the treatment of localized prostate cancer: a prospective study. check_circle Item Saved! A complete retroperitoneal US study visualizes all the structures or organs within the anatomic description of that study. 2016; 70(3):447-455. J Urol. In a phase 1, single-arm, prospective study, Chin and colleagues (2016) evaluated the safety and feasibility of MRI guided TULSA. July 25, 2018. Transrectal high-intensity focused ultrasound for treatment of patients with stage T1b-2n0m0 localized prostate cancer: a preliminary report. 2000; 37(6):695-701. NOTE: Information about the cost of this plan (called the premium) will be . Sonablate was classified as a class II device. Alternatively, the reduced tumor mass caused by thermal ablation may have an analgesic effect. This will stop any POWER account payment or copays while you are pregnant, and for 12 months after giving birth. In 2012, the FDA approved via the Premarket Application (PMA) process, the ExAblate System (InSightec, Ltd, Dallas, TX) for pain palliation in individuals 18 years and older who have metastatic bone cancer pain and have failed, are not candidates for or have refused standard radiation therapy. MRI-TULSA resulted in an 88% reduction of viable prostate tissue volume. Limani K, Aoun F, Holz S, et al. Government Agency, Medical Society, and Other Authoritative Publications: Maternal UltrasoundObstetricPrenatalSonography. AIUM practice guideline for the performance of obstetric ultrasound examinations. (i.e. The available evidence does not support that the use of TULSA is clinically appropriate and an effective therapy compared to the standard treatments. Updated Coding section with 10/01/2017 ICD-10-CM diagnosis code changes. Bone pain is a common complaint for individuals with metastatic cancer to the bone. Transrectal high-intensity focused ultrasound in the treatment of localized prostate cancer. Eur Urol. Treatment of localized prostate cancer using high-intensity focused ultrasound. Br J Surg. Due to variances in utilization patterns, each plan may choose whether to adopt a particular Clinical UM Guideline. J Pharm Bioallied Sci. Principles and results of high-intensity focused ultrasound for localized prostate cancer. The primary endpoint was the proportion of individuals who achieved a 75% or greater reduction in PSA at 12 months post-procedure. 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. Added Websites for Additional Information section. Ultrasound Tech in San Antonio, Texas, United States. Uchida T, Ohkusa H, Yamashita H, et al. Find job postings in CA, NY, NYC, NJ, TX, FL, MI, OH, IL, PA, GA, MA, WA, UT, CO, AZ, SF Bay Area, LA County, USA, North America / abroad. 2012; 105(2):198-202. 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. 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. High Intensity Ultrasound System For Prostate Tissue Ablation (Ablatherm). The authors concluded, Although newer modalities hold promise, we need higher quality studies to assess patient important outcomes to guide evidence-based clinical practice.. Placenta Accreta Spectrum. Updated Discussion/General Information and Reference sections. Updated Coding section; added ICD-10-CM code ranges O98.111-O98.119, O99.310-O99.313, O99.320-O99.323, O99.330-O99.333. 2004; 58(4):382-390. Available at: Centers for Disease Control and Prevention (CDC). 1000s more rooms to let in Bury, West Sussex and across the UK at SpareRoom.co.uk - the UK's #1 flatshare site. PLoS One. Anthem is the third national payer to agree to cover treatment Anthem incorporates MR-guided focused ultrasound for essential tremor into coverage Over 1600 Total Lots Up For Auction at One . Ultrasound Obstet Gynecol. Approved August 19, 2021. The current evidence is insufficient to support the use of HIFU as a generally accepted oncological treatment. 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, respectively. MedlinePlus. 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) Five years experience of transrectal high-intensity focused ultrasound using the Sonablate device in the treatment of localized prostate cancer. By March 2018, Anthem (Blue Cross/Blue Shield) will require that MR and CT scans considered "not medically necessary" be performed at freestanding medical imaging facilities in order to be covered. Postpartum hemorrhage. AIUM Practice Parameter for the Performance of Limited Obstetric Ultrasound Examinations by Advanced Clinical Providers. In 2016, ACOG and the SMFM released a practice advisory regarding the current information and recommendations regarding the Zika virus. Indiana Medicaid provides coverage to pregnant women through two programs. CA/IND/Anthem Silver 73 HMO/657G/01-22 Page 1 of 12 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered ServicesCoverage Period: 01/01/2022 - 12/31/2022 Anthem BlueCross Coverage for: Individual + Family | Plan Type: HMO Anthem Silver 73 HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Revised 2020. 2014; 84(5):1157-1162. ACOG Practice Bulletin 163. The gestational sac is examined for the presence of yolk sac and embryo/fetus (a fetus is generally defined as greater than or equal to 10 weeks gestational age). The feasibility and safety of high-intensity focused ultrasound as salvage therapy for recurrent prostate cancer following external beam radiotherapy. 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 Eur Urol Open Sci. Curr Urol Rep. 2003; 4(3):248-252. This recommendation is based upon prospective and retrospective studies (Ahmed, 2012; Baco, 2014; Crouzet, 2012; Crouzet, 2017; Kanthabalan, 2017; Palermo, 2017; Rischmann, 2017; Shah, 2016; Siddiqui, 2016; Uddin 2012). ( ACOG ) within the anatomic Description of that study ablation for localized prostate cancer is the commonly. Beam radiation therapy similar to prostate cancer, there is a non-invasive ablative procedure which the. For biochemical disease-free survival and overall survival following whole-gland salvage HIFU following failure! Localized prostate cancer following external beam radiation therapy San Antonio, Texas, United States prospective. 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