Discography Medical Policy

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Discography - Medical Clinical Policy Bulletins | Aetna

https://www.aetna.com/cpb/medical/data/700_799/0733.html

Policy. Aetna considers lumbar provocative discography medically necessary for evaluation for disc pathology in persons with persistent, severe low back pain (LBP) and abnormal interspaces on magnetic resonance imaging (MRI), where other diagnostic …

MEDICAL COVERAGE POLICY SERVICE: Discography

https://swhp.org/Portals/0/Medical%20Coverage%20Policies/072-Discography.pdf

MEDICAL COVERAGE POLICY SERVICE: Discography Policy Number: 072 Effective Date: 12/01/2020 Last Review: 10/24/2020 Next Review Date: 10/24/2021 Discography …

Discography - Cigna

https://static.cigna.com/assets/chcp/pdf/coveragePolicies/medical/mm_0393_coveragepositioncriteria_discography.pdf

discography, finding multiple painful discs, or indeterminate results (Thiyagarajah, et al., 2021). Provocative discography is less frequently performed to assess cervical or …

Discography | BCBSND

https://www.bcbsnd.com/providers/policies-precertification/medical-policy/d/discography

Discography, also known as provocative discography, is an imaging-guided procedure in which a contrast agent is injected into the nucleus pulposus of the disc to …

Medical & Drug Policies and Coverage Determination …

https://www.uhcprovider.com/en/policies-protocols/commercial-policies/commercial-medical-drug-policies.html

Medical Policies, Medical Benefit Drug Policies, Coverage Determination Guidelines, and Utilization Review Guidelines are developed as needed, are regularly reviewed and …

Epiduroscopy, Epidural Lysis of Adhesions and …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/epiduroscopy-epidural-lysis-adhesions-discography.pdf

back pain episodes were all more frequent in the discography group compared with control subjects. The author’s results demonstrated a significantly higher rate of lumbar spine …

Discogram (Discography) - Radiologyinfo.org

https://www.radiologyinfo.org/en/info/discography

A discogram, or discography, is an interventional diagnostic imaging test that helps determine whether a specific intervertebral disc may be the source of back pain. …

Clinical Policy: Discography - Health Net

https://www.healthnet.com/static/general/unprotected/pdfs/national/policies/Discography.pdf

discography as a diagnostic test for chronic spinal pain. Pain Physician. 2008 Sep-Oct; 11(5): 631-42. 13. Manchikanti L, Dunbar EE, Wargo BW, et al. Systematic review of …

Discogram - Mayo Clinic

https://www.mayoclinic.org/tests-procedures/discogram/about/pac-20393818

Discogram: A discogram, or diskogram, is a test used to evaluate back pain. A discogram may help your doctor determine if an abnormal disk in your spine is causing your back pain.

Provider Medical Policies | Anthem.com

https://www.anthem.com/provider/policies/clinical-guidelines/

Medical Policies & Clinical UM Guidelines. There are several factors that impact whether a service or procedure is covered under a member’s benefit plan. Medical policies and …

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