The Medicare NCD defines subsequent treatment strategy scans as those that are performed to guide subsequent management of antitumor treatment strategy after completion of initial anticancer therapy. This is often referred to as "restaging," which is a reevaluation of the cancer stage following completion of a course of treatment.
What is subsequent therapy?
Subsequent Courses of Therapy Subsequent therapy ( subsequent treatment ) is defined as therapy that is administered after the first course of therapy is completed , stopped, or changed. An example of subsequent therapy is the administration of a different chemotherapeutic agent after it is determined that the chemotherapeutic agent that was used in the first course of …
What is an example of subsequent care?
Subsequent therapy is a therapy that is administered after the first course of therapy is completed, stopped, or changed. « Previous (Subsequent Courses …
Is a subsequent treatment possible in case of insufficient first results?
Apr 01, 2014 · Patient goes to a wound clinic for treatment of the infection – Initial, follow up visits at the wound clinic are also initial as long as they are receiving treatment (for example – antibiotic therapy). Once they are in the recovery phase (treatment is discontinued) it is considered subsequent.
What is the difference between subsequent and subsequent?
Oct 16, 2009 · Subsequent Treatment Strategy The CMS will non-cover FDG PET imaging for subsequent anti-tumor treatment strategy for tumor types other than breast, colorectal, esophagus, head and neck (non-CNS/thyroid), lymphoma, melanoma, non-small cell
What does subsequent line of therapy mean?
When does the first course of chemotherapy become subsequent therapy?
What is the difference between first line and second-line treatment?
What is first course treatment?
Is chemo worse the second time around?
How fast does chemo work to shrink tumors?
How effective is second line chemotherapy?
How do you know if chemo is killing you?
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Along the way, the timeline may have to be adjusted due to:
- low blood counts.
- adverse effects to major organs.
- severe side effects.
What can you not do during radiation treatment?
What are the goals of radiation therapy?
Why are antineoplastic agents often given in combination?
What is Q0 in clinical research?
NOTE: Effective for services on or after January 1, 2008, -Q0 (investigational clinical service provided in a clinical research study that is in an approved clinical research study) replaces the -QR modifier.
What is the CMS coverage framework?
The CMS is adopting a coverage framework that replaces the 4-part diagnosis, staging, restaging, and monitoring response to treatment categories with a 2-part framework that differentiates FDG PET imaging used to inform the initial treatment strategy from other uses related to guiding subsequent treatment strategies after the completion of initial treatment. CMS is making this change for all NCDs that address coverage of FDG PET for oncologic conditions as noted below, inclusive of those indications that are coverable under CMS’ coverage with evidence development (CED) paradigm.
Does the revision date apply to red italicized material?
Disclaimer for manual changes only: The revision date and transmittal number apply only to red italicized material. Any other material was previously published and remains unchanged. However, if this revision contains a table of contents, you will receive the new/revised information only, and not the entire table of contents.
Does CMS cover FDG PET?
The CMS will cover one FDG PET study for beneficiaries who have solid tumors that are biopsy proven or strongly suspected based on other diagnostic testing when the beneficiary’s treating physician determines that the FDG PET study is needed to determine the location and/or extent of the tumor for the following therapeutic purposes related to the initial treatment strategy:
What is the ICD-9 code for PET scan?
In order to pay claims for PET scans on behalf of beneficiaries participating in a CMS-approved clinical trial, FIs require providers to submit claims with ICD-9 code V70.7 in the second diagnosis position on the CMS-1450 (UB-04) , or the electronic equivalent, with the appropriate principal diagnosis code and an appropriate CPT code from section
Does Medicare cover FDG?
Effective for services on or after April 3, 2009, Medicare will not cover the use of FDG PET imaging to determine initial treatment strategy in patients with adenocarcinoma of the prostate.
What is PI in a CT?
PI - Positron Emission Tomography (PET) or PET/Computed Tomography (CT) to inform the initial treatment strategy of tumors that are biopsy proven or strongly suspected of being cancerous based on other diagnostic testing. Short descriptor: PET tumor init tx strat
What is a subsequent acquisition?
Subsequent Acquisition Transaction means any proposed arrangement, amalgamation, merger, reorganization, consolidation, recapitalization or other transaction involving the Corporation and/or its subsidiaries and the Offeror or an affiliate of the Offeror which, if successfully completed, will result in the Offeror owning, directly or indirectly, all of the Shares and/or all of the assets of
What is a subsequent development approval?
Subsequent Development Approvals means all ministerial Development Approvals required subsequent to the Effective Date in connection with development of the Property, including without limitation, subdivision improvement agreements that require the provision of bonds or other securities. Subsequent Development Approvals include, without limitation, all excavation, grading, building
What is the ICd 10 for subsequent encounters?
Subsequent Indicates Recovery ICD-10-CM defines subsequent encounters as “encounters after the patient has received active treatment of the injury and is receiving routine care for the injury during the healing or recovery phase.
What is strategic therapist?
Strategic Definition: As used by systemic therapists, the process by which a team of therapists forms suppositions, open to revision, regarding how and why a family's problems have developed and persisted; to facilitate asking relevant questions and organizing incoming information, it occurs before meeting the family.
Does the University of Kansas have discrimination?
The University of Kansas prohibits discrimination on the basis of race, color, ethnicity, religion, sex, national origin, age, ancestry, disability, status as a veteran, sexual orientation, marital status, parental status, gender identity, gender expression, and genetic information in the university’s programs and activities
Does Medicare cover FDG?
Effective for services on or after April 3, 2009, Medicare will not cover the use of FDG PET imaging to determine initial treatment strategy in patients with adenocarcinoma of the prostate.
What is the CPT code for denying claims in excess of three for PET FDG scans?
denying claims in excess of three for PET FDG scans for subsequent treatment strategy when the –KX modifier is not included, identified by CPT codes 78608, 78811, 78812, 78813, 78814, 78815, or 78816, modifier –PS, HCPCS A9552, and the same cancer diagnosis code.
What is the CPT code for FDG PET?
Effective for claims with dates of service on or after April 3, 2009, contractors shall accept FDG PET claims billed to inform initial treatment strategy with the following CPT codes AND modifier –PI: 78608, 78811, 78812, 78813, 78814, 78815, 78816.
What are some examples of active treatment?
Examples of active treatment are: surgical treatment, emergency department encounter, and evaluation and continuing treatment by the same or a different physician. Although it’s counter-intuitive, “initial encounter” does not necessarily mean “initial visit.”. A patient may receive active treatment for a condition beyond the initial visit.
What is an initial encounter?
Example 1: An initial encounter (character “A”) describes an episode of care during which the patient is receiving active treatment for the condition. Examples of active treatment are: surgical treatment, emergency department encounter, and evaluation and continuing treatment by the same or a different physician.
What is a subsequent event?
A subsequent event is an event that occurs after a reporting period, but before the financial statements for that period have been issued or are available to be issued. Depending on the situation, such events may or may not require disclosure in an organization's financial statements. The two types of subsequent events are:
What is sale of equity?
Sale of equity. Settlement of a lawsuit where the events causing the lawsuit arose after the balance sheet date. A company should disclose the date through which there has been an evaluation of subsequent events, as well as either the date when the financial statements were issued or when they were available to be issued.
What is an event in accounting?
An event provides new information about conditions that did not exist as of the balance sheet date. Generally accepted accounting principles state that the financial statements should include the effects of all subsequent events that provide additional information about conditions in existence as of the balance sheet date.
Subsequent vs. Consequent
The English language has many ways to indicate that something has come after another thing, but a number of these words have subtle differences that you may want to observe.
Examples of subsequent in a Sentence
Her subsequent account of her ordeal, "The Upstairs Room" (1972), was a young adult tour de force, winning a Newbery Honor and other awards. Compared with Anne Frank's "Diary of a Young Girl," it is sparer and sterner. — Leslie Garis, New York Times Book Review, 22 Feb.
History and Etymology for subsequent
Middle English, from Anglo-French, from Latin subsequent-, subsequens, present participle of subsequi to follow close, from sub- near + sequi to follow — more at sub-, sue