Napoli A, Anzidei M, Marincola BC, et al. J Endourol. Thuroff S, Chaussy C, Vallancien G, et al. The single-arm, prospective, multi-center pivotal trial, TULSA-PRO Ablation Clinical Trial (TACT), enrolled 115 individuals with intermediate risk (67.0%) or low risk (33.0%) organ confined prostate cancer who underwent whole gland prostate ablation (Klotz, 2021). 2003; 17(8):673-677. Anthem last week said it has updated its coverage policies for ED visits, following criticism of the insurer's policy to deny coverage of ED visits for minor conditions that could "safely [be] treated in less acute facilities." Learn more: Get the primers for reducing avoidable ED utilization Background Revised June 27, 2022. Pathological, oncologic and functional outcomes of a prospective registry of salvage high intensity focused ultrasound ablation for radiorecurrent prostate cancer. Mol Urol. Clin Oncol (R Coll Radiol). The bone metastases arose from a variety of primary tumors including renal, colorectal, lung, breast and prostate. 2011; 185(4):1246-1254. Birth Defects Homepage: Diagnosis. There were no new reported serious AEs. J Endourol. These Medical Policies serve as guidelines for health care benefit coverage decisions, which may vary according to the different products and benefit plans offered by BCBSIL. Focal high intensity focused ultrasound of unilateral localized prostate cancer: a prospective multicentric hemiablation study of 111 patients. 2005; 19(6):693-701. grievance or appeal. Yutkin V, Ahmed HU, Donaldson I, et al. The most commonly reported complications included Stress 1 urinary incontinence (18.7%), followed by obstruction of the bladder outlet (16.6%), and acute urinary retention (7.6%). In 2021, Nair and colleagues reported the 3-year outcomes of the participants in the Chin study. Ahmed HU, Cathcart P, McCartan N, et al. TULSA is delivered by a system which includes real-time MR thermometry as well as robotically-driven directional thermal ultrasound in a closed loop system to ablate whole gland or targeted areas of the prostate. In a prospective, non-randomized single arm trial, MRgFUS was used on 5 individuals with painful bone metastatic lesions with a pain rating of 4 or higher. Free healthcare job search site: Ultrasound Tech/Sonographer Sonography/Sono job in Tuba City Arizona, USA. Updated References and Websites for additional information sections. The uterus, cervix, adnexa, and cul-de-sac region should be examined. Available at: Second and third trimester screening for fetal anomaly. 2021: S1078-1439(21)00173-3. Due to variances in utilization patterns, each plan may choose whether to adopt a particular Clinical UM Guideline. 2000; 4(3):183-187. AIUM-ACR-ACOG-SMFM-SRU Practice parameter for the performance of standard diagnostic obstetric ultrasound examinations. BJU Int. Evaluation of quality of life outcomes following palliative treatment of bone metastases with magnetic resonance-guided high intensity focused ultrasound: an international multicentre study. Shoji S, Nakano M, Nagata Y, et al. Eur Urol. Cancer. Guideline for the management of clinically localized prostate cancer: 2007 update. August 15, 2019. . HAIFA, Israel- MIAMI, Dec. 22, 2022/CNW/ -- Insightec, a global healthcare company dedicated to using acoustic energy to transform patient care, announced today that Anthem is the third national. Whole-gland salvage high-intensity focused ultrasound therapy for localized prostate cancer recurrence after external beam radiation therapy. 15727 Anthem Pkwy, Suite 600 . J Endourol. Pain palliation for localized metastatic bone pain. Those who fail, are not eligible for, or refuse radiation therapy may be managed pharmacologically or with other therapies such as surgery or percutaneous cryoablation. Alternatively, the reduced tumor mass caused by thermal ablation may have an analgesic effect. 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. July 25, 2018. Focal therapy for localised unifocal and multifocal prostate cancer: a prospective development study. Updated Description, Coding, Discussion and References sections. 2017. Int J Gynaecol Obstet. Zika virus was first reported in South America in May 2015 and since that time has now appeared in the United States. Ultrasound: A screening or diagnostic technique in which very high frequency sound waves are passed into the body, and the reflected echoes are detected and analyzed to build a picture of the internal organs or of a single fetus or multiple fetuses in the uterus. Revised title from High Intensity Focused Ultrasound (HIFU) for Oncologic Indications to Ultrasound Ablation for Oncologic Indications. 2004; 63(4):625-629. Ultrasound Obstet Gynecol. Prostate Cancer. Salvage radical prostatectomy following primary high intensity focused ultrasound for treatment of prostate cancer. 2018; 51(4):463-469. November 17, 2019. High-intensity focused ultrasound for treatment of pancreatic cancer: a systematic review. Zika Virus. This LCD supplements but does not replace, modify or supersede existing Medicare applicable National Coverage Determinations (NCDs) or payment policy rules and regulations for Ultrasound, Soft Tissues of Head and Neck. Crouzet S, Blana A, Murat FJ, et al. Prostate Cancer. Accessed on September 13, 2022. Recommendations for the management of a pregnant individuals with suspected Zika virus infection include: The 2021 CDC guideline on the treatment of sexually transmitted infections includes management recommendations for individuals who are diagnosed with text in the second half of pregnancy. Approximately 98% of subjects received 1 (60%) or 2 treatments (38%). Ultrasound imaging can be used after delivery to evaluate abnormalities of the reproductive and adjacent structures. Pain palliation in patients with bone metastases using magnetic resonance-guided focused ultrasound with conformal bone system: a preliminary report. 2008; 102(7):786-792. 2021. Principles and results of high-intensity focused ultrasound for localized prostate cancer. 2017; 31(1):14-19. Ultrasound Obstet Gynecol. ultrasound). Management of prostate-specific antigen relapse in prostate cancer: a European Consensus. J Ther Ultrasound. World J Gastroenterol. BJU Int. The current standard treatment is external beam radiation therapy (EBRT). Magnetic resonance imaging-guided transurethral ultrasound ablation of prostate tissue in patients with localized prostate cancer: a prospective Phase 1 clinical trial. High-intensity focused ultrasound and localized prostate cancer: efficacy results from the European multicentric study. Inclusion or exclusion of a procedure, diagnosis or device code(s) does not constitute or imply member coverage or provider reimbursement policy. The baseline median PSA of 7.6 ng/ml decreased to 0.23 ng/ml at 12 months follow-up. The American Urological Association (AUA) 2007 guideline on prostate cancer notes that conclusions on the outcomes of HIFU cannot be determined as there is minimal data available on this treatment. TULSA has been proposed as a localized treatment of unilateral intermediate risk prostate cancers in individuals not interested in active surveillance (Klotz, 2021). Hurwitz MD, Ghanouni P, Kanaev SV, et al. A complete resolution of pain at 1 year follow-up was shown in 2 participants (Joo, 2015). A total of 29 individuals underwent a follow-up biopsy, either at 12 months only, or at 12 and 36 months. Ultrasound in pregnancy. Available at: Centers for Disease Control and Prevention (CDC): How is Prostate Cancer Treated? Temperatures within the targeted area increase to 60-95C, which destroys the targeted tissue without damaging the adjacent tissue. Re: Salvage high-intensity focused ultrasound for patients with recurrent prostate cancer after brachytherapy. 2014; 11(6):303. However, there are no data specific to congenital Zika virus infection to guide recommendations for timing of serial ultrasounds; ob-gyns and other obstetric providers may consider extending the time interval between ultrasounds in accordance with patient preferences and clinical judgement. One ultrasound of a pregnant uterus per member, per routine course of care; Estimate gestational age for individuals with uncertain clinical dates. 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. Magnetic resonance imaging-guided transurethral ultrasound ablation of prostate cancer. Eur Urol. There was 1 in-field and 2 out-of-field recurrences reported at that time. Assessment of fetal well being, in the absence of the signs, symptoms, or conditions listed above; Providing a keepsake picture of the baby for the parents. Salvage high-intensity focused ultrasound (HIFU) for locally recurrent prostate cancer after failed radiation therapy: Multi-institutional analysis of 418 patients. In addition to the active and pending Medical Policies, BCBSIL has included policies which are under development or being revised. In the 25 participants that were able to tolerate a complete treatment, 72% (18/25) reported significant pain reduction of at least 2 points on the VAS scale, 24% (6/25) reported no reduction in pain and 4% (1/25) reported an increase in pain levels. Medicare Supplement Plan F is great because it provides the most coverage of the 10 currently available MedSup plans. Whole-gland ablation of localized prostate cancer with high-intensity focused ultrasound: oncologic outcomes and morbidity in 1002 patients. Alternatively, commercial or FEP plans or lines of business which determine there is not a need to adopt the guideline to review services generally across all providers delivering services to Plans or line of businesss members may instead use the clinical guideline for provider education and/or to review the medical necessity of services for any provider who has been notified that his/her/its claims will be reviewed for medical necessity due to billing practices or claims that are not consistent with other providers, in terms of frequency or in some other manner. 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. This guideline was reviewed and validated in 2011. 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