Shoji S, Nakano M, Nagata Y, et al. Shah TT, Peters M, Kanthabalan A, et al. check_circle Item Saved! On October 9, the FDA granted de novo clearance to SonaCare Medical, LLC (Charlotte, NC) to market the Sonablate 450 for prostate tissue ablation. A set of individuals who were positive for insignificant disease at 12 months (n=4) or clinically significant disease at 12 months (n=5) required salvage treatment. HIFU is a non-invasive ablative procedure which has the advantage of sparing surrounding tissue which may reduce postoperative morbidity and hasten recovery. Updated Coding section with 10/01/2020 ICD-10-CM changes; added O99.891; removed Q51.20 deleted 09/30/2020. High-intensity focused ultrasound in the treatment of primary prostate cancer: the first UK series. TULSA was developed as an alternative method of prostate tissue ablation. Hematology/Oncology Subcommittee review. Temperatures within the targeted area increase to 60-95C, which destroys the targeted tissue without damaging the adjacent tissue. HIFU or MRgFUS has also been studied as a potential treatment of various cancers. When a growth disturbance is suspected clinically or there is a medical or obstetric condition that increases the risk of a growth disturbance, ultrasonography is the modality of choice to identify abnormal fetal growth. Of note, 65.7% (23/35) of individuals in the placebo group did not complete the 3-month follow-up compared to approximately 21% (26/112) of the MRgFUS group. 2001; 15(4):437-440. . Post-treatment biopsies were available in 77% of subjects. Elterman D, Li W, Hatiboglu G, et al. While some trials using HIFU to treat pancreatic or liver cancer have shown some promising results, these trials have lacked a comparator group (Chen, 2015; Dupr, 2015; Shi, 2015; Sofuni, 2014). 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. October 2016. Taneja SS. In the absence of specific indications, the optimal time for a single ultrasound examination is at 1822 weeks of gestation. Available at: High Intensity Ultrasound System for Prostate Tissue Ablation (TULSA-PRO System). . BJU Int. Find a doctor near you. One of the largest of these studies was conducted by Ganzer and colleagues (2011). Technology insight: High-intensity focused ultrasound for urologic cancers. Required ultrasound or colonoscopy for select adult patients based on clinical scenario; Ultrasound-first approach for pediatric abdominal and pelvic pain . In October 2017, ACOG and SMFM released an updated version of the practice advisory based upon updated Centers for Disease Control and Prevention (CDC) recommendations and recently published guidance. Updated Discussion/General Information and Reference sections. Control of prostate cancer by transrectal HIFU in 227 patients. The guideline addresses several non-extirpative therapies and concluded that these therapies, including HIFU, are investigational for the treatment of renal masses. Eur Urol. Accessed on October 20, 2022. These studies have a number of methodological limitations, including a lack of randomization of participants, a lack of a comparator group and limited follow-up for oncologic outcomes. 2012; 105(2):198-202. NOTE: Information about the cost of this plan (called the . 2014; 84(5):1157-1162. 2015; 194(1):114. In some states, insurance must cover . Jpn J Clin Oncol. 2017; 71(2):267-273. 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) BJU Int. For any of the diagnosis codes listed below for abnormalities and high-risk conditions, and including the following: Encounter for supervision of normal pregnancy [codes 76801, 76805, when criteria are met], Encounter for antenatal screening of mother, When services may be Medically Necessary when criteria are met for known or suspected abnormality of maternal reproductive structure, fetus, or placenta, or fetal viability or other high-risk conditions:For the procedure codes listed above for the following diagnoses, Incomplete spontaneous abortion without complication, Complete or unspecified spontaneous abortion without complication, Failed attempted termination of pregnancy without complication, Supervision of pregnancy with history of infertility, Supervision of pregnancy with history of ectopic pregnancy, Supervision of pregnancy with history of molar pregnancy, Supervision of pregnancy with history of pre-term labor, Supervision of pregnancy with other poor reproductive or obstetric history, Supervision of pregnancy with insufficient antenatal care, Supervision of elderly primigravida and multigravida, Supervision of other or unspecified high risk pregnancy, Pre-existing essential hypertension complicating pregnancy, Pre-existing hypertensive heart disease complicating pregnancy, Pre-existing hypertensive chronic kidney disease complicating pregnancy, Pre-existing hypertensive heart and chronic kidney disease complicating pregnancy, Pre-existing secondary hypertension complicating pregnancy, Unspecified pre-existing hypertension complicating pregnancy, Pre-existing hypertension with pre-eclampsia; first, second or third trimester, Pre-existing hypertension with pre-eclampsia; unspecified trimester, Mild to moderate pre-eclampsia; unspecified, second or third trimester, Severe pre-eclampsia; unspecified, second or third trimester, HELLP syndrome; unspecified, second or third trimester, Unspecified pre-eclampsia; unspecified, second or third trimester, Unspecified maternal hypertension; first, second or third trimester, Unspecified maternal hypertension; unspecified trimester, Pre-existing diabetes mellitus, type 1, in pregnancy, Pre-existing diabetes mellitus, type 2, in pregnancy, Unspecified pre-existing diabetes mellitus in pregnancy, Gestational diabetes mellitus in pregnancy, Other pre-existing diabetes mellitus in pregnancy, Unspecified diabetes mellitus in pregnancy, Pregnancy care for patient with recurrent pregnancy loss, Retained intrauterine contraceptive device in pregnancy, Uterine size-date discrepancy complicating pregnancy, Complications specific to multiple gestation, Maternal care for malpresentation of fetus, Maternal care for abnormality of pelvic organs, Maternal care for known or suspected fetal abnormality and damage, Maternal care for known or suspected poor fetal growth, Maternal care for viable fetus in abdominal pregnancy, Pregnancy with inconclusive fetal viability, Maternal care for abnormalities of the fetal heart rate or rhythm, Maternal care for other specified fetal problems, Maternal care for fetal problem, unspecified, Other disorders of amniotic fluid and membranes, Fetus-to-fetus placental transfusion syndrome, Morbidly adherent placenta, other/unspecified placental disorder, Premature separation of placenta (abruptio placentae), Retained placenta and membranes, without hemorrhage, Abnormality in fetal heart rate and rhythm complicating labor and delivery, Other specified diseases and conditions complicating pregnancy, Contact with and (suspected) exposure to Zika virus. Minerva Urol Nefrol. August 27, 2020. A complete retroperitoneal US study visualizes all the structures or organs within the anatomic description of that study. In November, the FDA approved the use of Ablatherm (Maple Leaf; Toronto, Canada) to treat prostate cancer in individuals who previously failed radiation therapy. American College of Obstetricians and Gynecologists (ACOG) and Society for Maternal Fetal Medicine (SMFM). In brief: classifications in brief: Mirels' classification: metastatic disease in long bones and impending pathologic fracture. Focused ultrasound for the treatment of bone metastases: effectiveness and feasibility. 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. Revised September 16, 2022. Visit our official site today for more details. There were no new reported serious AEs. ACOG Practice Bulletin 163. ACOG Practice Bulletin Number 229. 2018; 30(4):233-242. 2005; 19(6):693-701. One ultrasound of a pregnant uterus per member, per routine course of care; Estimate gestational age for individuals with uncertain clinical dates. 2015; 102(8):873-882. Uchida T, Ohkusa H, Nagata Y, et al. World J Gastroenterol. Whole-gland ablation of localized prostate cancer with high-intensity focused ultrasound: oncologic outcomes and morbidity in 1002 patients. Approximately 30% of all individuals with cancer develop metastatic bone lesions and 50-75% of these individuals report significant pain. Management of preterm labor. Eur Urol. A statistically significant pain response was reported in 70.7% of this group. Bonekamp D, Wolf MB, Roethke MC, et al. Salvage magnetic resonance imaging-guided transurethral ultrasound ablation for localized radiorecurrent prostate cancer: 12-month functional and oncological results. Government Agency, Medical Society, and Other Authoritative Publications: Maternal UltrasoundObstetricPrenatalSonography. -12/31/2022 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual + Family | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan.The SBC shows you how you and the plan would share the cost for covered health care services. Reaffirmed October 2021. Eur Urol Open Sci. Prostate cancer therapy with high-intensity focused ultrasound. First clinical experience of intra-operative high intensity focused ultrasound in patients with colorectal liver metastases: a phase I-IIa study. Please refer to the member's contract benefits in effect at the time of service to determine coverage or non-coverage of these services as it applies to an individual member. 2011; 3(3):329-338. Baco E, Gelet A, Crouzet S, et al. Thompson I, Thrasher JB, Aus G, et al. Quality of life following high-intensity focused ultrasound for the treatment of localized prostate cancer: a prospective study. There are currently two ultrasound ablative techniques. 2013; 48(6):351-358. Rebillard X, Gelet A, Davin JL, et al. Hinyokika Kiyo. Screening for Fetal Aneuploidy. Crouzet S, Blana A, Murat FJ, et al. The five HIFU trials included a total of only 136 individuals. Please refer to the member's contract benefits in effect at the time of service to determine coverage or non-coverage of these services as it applies to an individual member. Ahhhhh! Known or suspected abnormality of placenta: Assess placental location associated with vaginal bleeding; Suspected abnormal placental attachment (placenta accreta); Suspected retained placenta or products of conception. Improved outcomes with advancements in high intensity focused ultrasound devices for the treatment of localized prostate cancer. Bone metastases are common in breast and prostate cancer (Liberman, 2009). Crouzet S, Chapelon JY, Rouvire O, et al. Urology. Focal therapies are proposed as less invasive treatment options when compared to radical prostatectomy or radiation therapy. 2012; 118(17):4148-4155. Palliative Care. Available at: High Intensity Ultrasound System For Prostate Tissue Ablation (Focal One). Local recurrence of prostate cancer after external beam radiotherapy: early experience of salvage therapy using high-intensity focused ultrasonography. Medicare Supplement Plan F is great because it provides the most coverage of the 10 currently available MedSup plans. Revised May 20, 2020. J Ther Ultrasound. Radiother Oncol. 2011; 185(4):1246-1254. 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. Ahmed HU, Freeman A, Kirkham A, et al. In addition, there are limitations on tissue tolerance at sites previously irradiated. For other common visits, this is what you'll pay with PPO. MPTAC review. An individual with out-of-field recurrence underwent a repeat salvage TULSA. Updated Description, Discussion, References and Websites for Additional Information sections. Int J Gynaecol Obstet. Updated Coding section with 10/01/2022 ICD-10-CM changes; added O35.00X0-O35.9XX9 replacing O35.0XX0-O35.9XX9. Revised June 27, 2022. Thuroff S, Chaussy C, Vallancien G, et al. The benefits and limitations of ultrasonography should be discussed with all patients. 2010; 17(8):715-719. BJU Int. Poissonnier L, Chapelon JY, Rouviere O, et al. Inclusion or exclusion of a procedure, diagnosis or device code(s) does not constitute or imply member coverage or provider reimbursement policy. Anttinen M, Mkel P, Viitala A, et al. Clin Genitourin Cancer. J Endourol. AIUM practice guideline for the performance of obstetric ultrasound examinations. Pregnant Women. Geiger D, Napoli A, Conchiglia A, et al. 2014; 106(5). Anthem - Blue Cross Blue Shield Long awaited and much anticipated? Indiana Medicaid. 1999b; 39(1):41-46. 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. The 2018 American Urological Association/American Society for Radiation Oncology/Society of Urologic Oncology (AUA/ASCO/SUO) notes that high intensity focused ultrasound treatment is not a standard care option for low, intermediate or high risk or localized prostate cancer. 2011; 185(3):862-868. Prostate. The location you tried did not return a result. Available at: Antepartum Fetal surveillance. Ultrasound in pregnancy. Updated Coding, Description, Discussion/General Information, and References. List Your Practice ; Search . The available evidence does not support that the use of TULSA is clinically appropriate and an effective therapy compared to the standard treatments. In 2013, Napoli and colleagues treated 18 individuals with painful bone metastases with MRgFUS. MPTAC review. MPTAC review. 2021; 205(3):769-779. HIP Maternity will cover enhanced benefits . Last Reviewed: August 25, 2022. Dupr A, Melodelima D, Prol D, et al. 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 It is completely automated and therefore extremely rigid. 2016; 19(3):311-316. Available at: U.S. National Library of Medicine. Updated References section. Blana A, Walter B, Rogenhofer S, Wieland WF. Schatzl G, Madersbacher S, Djavan B, et al. Twelve-month prostate volume reduction after MRI-guided transurethral ultrasound ablation of the prostate. 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%). Updated Discussion/General Information, References and Websites for Additional Information sections. 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