WebPolicies, Guidelines & Manuals. We’re committed to supporting you in providing quality care and services to the members in our network. Here you will find information for assessing coverage options, guidelines for clinical utilization management, practice policies, the provider manual and support for delivering benefits to our members. Web11. Percutaneous polymethylmethacrylate vertebroplasty (PPV) or kyphoplasty is considered medically necessary for members with persistent, debilitating pain in the cervical, thoracic or lumbar vertebral bodies resulting from any of the following: 1. Multiple myeloma; or 2. Painful and/or aggressive hemangiomas; or 3.
Provider Policies, Guidelines and Manuals Anthem.com
WebCOVERAGE CRITERIA Paramount Commercial Plans, Medicare Advantage Plans, and Paramount Medicaid Advantage Percutaneous Vertebroplasty (22510, 22511, 22512) & Vertebral Augmentation (Kyphoplasty) (22513, 22514, 22515) Percutaneous vertebroplasty and vertebral augmentation (Kyphoplasty) using an FDA cleared device are covered Web28 aug. 2024 · If a person has Medicare Advantage, the policy may require prior authorization for surgery, and subsequent claims are sent to the insurer rather than to … metis nation historical database
Percutaneous Vertebroplasty and Kyphoplasty
WebKyphoplasty is a type of vertebral augmentation surgery used to treat spinal compression fractures that have not responded well to conservative non-surgical treatments. With the assistance of X-ray imaging, a surgeon restores the collapsed vertebrae height and fills the cavity with bone cement to stabilize the vertebrae. Web1 okt. 2015 · Coverage will remain available for medically necessary procedures for other conditions not included in this LCD. PVA (Percutaneous Vertebroplasty (PVP) or … Web21 nov. 2024 · Every page of the record must be legible and include appropriate patient identification information (e.g., complete name, dates of service [s]). The documentation … metis nation bc shop