No...I have not heard of this requirement. We perform this procedure and it does require a diagnosis of osteoarthritis. As you know, some carrier have specific requirements such as.....
Intra articular hyaluronan injections may be appropriate for the treatment of pain in osteoarthritis of the knee when conservative treatment has failed.
The medical record should document conservative therapy as follows:
â€¢ Diagnosis of osteoarthritis substantiated by x-ray or other imaging or arthroscopic findings, and
â€¢ Complaints of persistent pain while using simple analgesics and non-steroidal anti-inflammatory drugs,
â€¢ Aspiration of the joint resulting in clear viscous aspirate, when effusion is present, followed by injection of steroid that results in unsatisfactory relief of pain or relief of pain that lasts less than three months.
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