Effective management of spinal pain in one hundred seventy-seven patients evaluated for manipulation under anesthesia. This policy contains information which is clinical in nature. Chiropractic and Manual Therapies Wellmark medical policies address the complex issue of technology assessment of new and emerging treatments, devices, drugs, etc. Manipulation of ankle under general anesthesia includes application of traction or other fixation apparatus. There are no controlled studies or any studies reporting long-term follow-up with outcomes. Vazquez, BS, and Michael J. Dougherty P.
Manipulation of ankle under general anesthesia (includes application of CPT® is a registered trademark of the American Medical Association. cruciate ligament repair) (CPT code ) when there is failure of . manipulation under anesthesia of any joint such as the hip, ankle, toe. Manipulation under anesthesia (MUA) consists of a series of mobilization, multiple joints, whole body MUA) of other major joints such as the hip, ankle, toe, elbow, To report provider services, use appropriate CPT* codes, Modifiers, Alpha.
Not Medically Necessary: Manipulation under anesthesia of the spine is considered not medically necessary for all other diagnoses not listed above.
Therefore, the separate billing of manipulation under anesthesia during the surgical procedure will be denied as not medically necessary.
Joint Manipulation under Anesthesia CPT Codes
The Academy stated that MUA "may be appropriate in cases of restrictions and abnormalities of function. Moved content of MED. Epub Jul 4. Effective management of spinal pain in one hundred seventy-seven patients evaluated for manipulation under anesthesia.
Aetna considers spinal manipulation under general anesthesia (MUA) . the use of MUA for the treatment of disorders of other body joints such as the hip, ankle, knee, and wrist.
CPT codes not covered for indications listed in the CPB (not.
Clinical indications edited to remove shoulder. Evidence regarding the efficacy of MUA over several sessions or for multiple joints is also lacking.
Manipulation under Anesthesia
Since that time, new technology may have emerged or new medical literature may have been published. Inclusion or exclusion of a procedure, diagnosis or device code s does not constitute or imply member coverage or provider reimbursement policy.
The lack of a true control group limits interpretation of this study.
Effective management of spinal pain in one hundred seventy-seven patients evaluated for manipulation under anesthesia. Manipulation refers to the use of a variety of manual techniques to adjust the spinal column and joints, improve the range of motion of the joints, stretch and relax connective tissue and muscles, and promote overall relaxation.
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|A search of peer-reviewed literature finds retrospective chart reviews, small sample sizes and single case series.
J Manipulative Physiol Ther ; 27 7 At this time, there is insufficient evidence from the available peer-reviewed literature to conclude that manipulation under anesthesia of the spine in the absence of vertebral fracture or complete dislocation is an effective treatment for pain.
Video: Manipulation under anesthesia ankle cpt Manipulation Under Anesthesia (MUA)
Manipulation under anesthesia of the spine may be performed in two general settings; for example, as a closed treatment of vertebral fracture or complete dislocation, or as a form of treatment of the pain associated with incomplete dislocation, that is, subluxation.
While general anesthesia is typically used for the closed treatment of vertebral fracture or complete dislocations, spinal manipulation for the treatment of incomplete dislocations typically uses either conscious sedation or regional anesthesia.
Scientific evidence regarding manipulation under anesthesia, spinal manipulation with joint anesthesia, spinal manipulation, and other body joints after epidural anesthesia and corticosteroid injection is limited to observational case series and nonrandomized comparative studies.
Joint Manipulation under Anesthesia CPT Codes. Manipulation; elbow; under anesthesia () · Manipulation, wrist, under anesthesia () · Manipulation. I. Aetna considers spinal manipulation under general anesthesia (MUA) disorders of other body joints (e.g., ankle, elbow, finger, hip, pelvis, toe, and wrist), or for .
CPT codes not covered for indications listed in the CPB.
Prior Approval: Not applicable.
Manipulation under anesthesia involving multiple body joints or other major body joints ankle, elbow, finger, hip, wrist, temporomandibular is considered investigational for treatment of all indications, including but not limited to:. Manipulation of the knee and shoulder will be denied as investigational when reported for any other conditions. Wellmark medical policies contain only a partial, general description of plan or program benefits and do not constitute a contract. Physicians and other health care providers are responsible for medical advice and treatment.
The evidence is insufficient to determine whether MUA improves health outcomes.
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Manipulation under anesthesia of the spine is considered medically necessary for the treatment of vertebral fracture, complete dislocation of the spine, or acute traumatic incomplete dislocation subluxation of the spine. Wellmark determines medical necessity only if the benefit exists and no contract exclusions are applicable. Scientific evidence regarding manipulation under anesthesia, spinal manipulation with joint anesthesia, spinal manipulation, and other body joints after epidural anesthesia and corticosteroid injection is limited to observational case series and nonrandomized comparative studies.
Supplemental care with medication-assisted manipulation versus spinal manipulation therapy alone for patients with chronic low back pain.