Results 1 to 4 of 4

RFA Ablation Duration

  1. #1
    Default RFA Ablation Duration
    Exam Training Packages
    UHC has published their medical policy guidelines for RFA ablation duration which states;
    Thermal radiofrequency ablation of facet joint nerves is proven for chronic cervical,thoracic and lumbar pain when confirmed by:
    Temperature 60 degrees Celsius or more
    Duration of ablation 40-90 seconds
    Positive response to medical branch block injection at the side and level of the proposed ablation AND
    Confirmation of needle placement by fluoroscopic guided imaging

    My provider does not believe this is correct, he uses up to 120 seconds. Is there a National Guideline that supports what UHC states or any other information anyone could provide me to show my provider?
    Thanks as always for your help.

  2. #2
    Default
    https://www.unitedhealthcareonline.c...pinal_Pain.pdf

    The studies they used to based their coverage has a maximum of 90 . I wasn't able to find a study thru the internet that they used 120 seconds, but I don't have the same abilities they have for obtaining these reference documents to be able to review additional studies that they didn't include in their medical policy.

  3. #3
    Default
    Thank You for your answer as always. Please let me ask you something, in your opinion would it be incorrect to use 120?

  4. #4
    Default
    Might check UHC site where you could potentially address this question with their medical director thru email if they have contact us section near their medical policies. I would be weary of telling the physician to change the way he is performing a certain procedure if he deems this proves the best possilbe outcome for the patient but I would focus on as said above of attempting to get a response from UHC.

Similar Threads

  1. MI without stated duration
    By heyerflowers@gmail.com in forum Cardiology
    Replies: 3
    Last Post: 07-16-2014, 08:20 AM
  2. Radiofrequency Ablation(RFA)
    By jessica33 in forum Interventional Radiology
    Replies: 2
    Last Post: 06-05-2012, 02:06 PM
  3. HPI duration question
    By Tonyj in forum E/M
    Replies: 3
    Last Post: 10-12-2011, 11:19 AM
  4. duration/timing
    By alices in forum Emergency Department
    Replies: 2
    Last Post: 04-01-2011, 02:35 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.