Wiki AAA Screening

[neecen]

Good day All!

Has anyone seen a scenario where AAA screening is paid by insurance for ages 55 - 65? I know the guidelines specify ages 65 - 75 however, I have a provider asking if there any exceptions and if so, what dx would be used.

TIA for your reply.

Denise

 

[lgardner]

I do not have a definitive answer for you, BUT...

Per CMS interactive preventive services chart (Which is a handy site to bookmark):

Medicare Covers​

Patients with Medicare Part B who meet these criteria:

• Certain AAA risk factors
• Referred by a physician, physician assistant, nurse practitioner, or clinical nurse specialist

Frequency​

• Once per lifetime

Per JAMA:
The American College of Cardiology and the American Heart Association jointly recommend 1-time screening for AAA with physical examination and ultrasonography in men aged 65 to 75 years who have ever smoked or in men 60 years or older who are the sibling or offspring of a person with AAA. These organizations do not recommend screening for AAA in men who have never smoked or in women.46 The Society for Vascular Surgery recommends 1-time ultrasonography screening for AAA in all men and women aged 65 to 75 years with a history of tobacco use, men 55 years or older with a family history of AAA, and women 65 years or older who have smoked or have a family history of AAA.47 The American College of Preventive Medicine recommends 1-time screening in men aged 65 to 75 years who have ever smoked; it does not recommend routine screening in women

 

[neecen]

I do not have a definitive answer for you, BUT...

Per CMS interactive preventive services chart (Which is a handy site to bookmark):

Medicare Covers​

Patients with Medicare Part B who meet these criteria:

• Certain AAA risk factors
• Referred by a physician, physician assistant, nurse practitioner, or clinical nurse specialist

Frequency​

• Once per lifetime

Per JAMA:
The American College of Cardiology and the American Heart Association jointly recommend 1-time screening for AAA with physical examination and ultrasonography in men aged 65 to 75 years who have ever smoked or in men 60 years or older who are the sibling or offspring of a person with AAA. These organizations do not recommend screening for AAA in men who have never smoked or in women.46 The Society for Vascular Surgery recommends 1-time ultrasonography screening for AAA in all men and women aged 65 to 75 years with a history of tobacco use, men 55 years or older with a family history of AAA, and women 65 years or older who have smoked or have a family history of AAA.47 The American College of Preventive Medicine recommends 1-time screening in men aged 65 to 75 years who have ever smoked; it does not recommend routine screening in women

Thank you so much! The information from JAMA is great information. In addition, I did bookmark the CMS site you mentioned. Thank you for that information as well!