About this deal
These updates do not expand, restrict, or alter existing coverage policy. Implementation date: 01/04/2016 Effective date: 10/1/2015. ( TN 1537) (CR 9252) Before we begin, let's revisit some basic fraction terms so you understand exactly what we're dealing with here:
Medicare will only consider DBS devices to be reasonable and necessary if they are Food and Drug Administration (FDA) approved devices for DBS or devices used in accordance with FDA approved protocols governing Category B Investigational Device Exemption (IDE) DBS clinical trials.Significant medical, surgical, neurologic or orthopedic co-morbidities contraindicating DBS surgery or stimulation. It's not always clear what causes high blood pressure, but there are things that can increase your risk. For DBS lead implantation to be considered reasonable and necessary, providers and facilities must meet all of the following criteria: To work this out we'll use the whole number we calculated in step one (6) and multiply it by the original denominator (24). The result of that multiplication is then subtracted from the original numerator:
Making healthy lifestyle changes can sometimes help reduce your chances of getting high blood pressure and help lower your blood pressure if it's already high. Persistent high blood pressure can increase your risk of a number of serious and potentially life-threatening health conditions, such as: Advanced idiopathic PD as determined by the use of Hoehn and Yahr stage or Unified Parkinson's Disease Rating Scale (UPDRS) part III motor subscale. Blood pressure readings from 121/81mmHg to 139/89mmHg could mean you're at risk of developing high blood pressure if you do not take steps to keep your blood pressure under control.
Treatment for high blood pressure
Persistent disabling Parkinson's symptoms or drug side effects (e.g., dyskinesias, motor fluctuations, or disabling "off" periods) despite optimal medical therapy. NCDs are developed and published by CMS and apply to all states. NCDs are made through an evidence-based process, with opportunities for public participation. Medicare coverage is limited to items and services that are considered "reasonable and necessary" for the diagnosis or treatment of an illness or injury (and within the scope of a Medicare benefit category). An NCD sets forth the extent to which Medicare will cover specific services, procedures, or technologies on a national basis. Medicare Administrative Contractors (MACs) are required to follow NCDs. Patients who undergo DBS implantation should not be exposed to diathermy (deep heat treatment including shortwave diathermy, microwave diathermy and ultrasound diathermy) or any type of MRI, which may adversely affect the DBS system or adversely affect the brain around the implanted electrodes. Willingness and ability to cooperate during conscious operative procedure, as well as during post-surgical evaluations, adjustments of medications and stimulator settings.