What are non-surgical therapeutic procedures?
Non-surgical therapeutic procedures are generally less invasive than surgical options. A vast array of treatments is available including: medicines; physical therapies; radiation therapies. If non-surgical procedures cannot provide appropriate or effective treatment for a particular condition or injury, surgery may need to be considered.
What are the most common surgical procedures?
For people with interstitial cystitis (IC), the term surgery may be used to describe tests to diagnose IC, as well as treatment options.One surgical procedure, called cystoscopy with hydrodistention, may be used to both diagnosis and treat IC.Surgery may also be performed to implant an electrical nerve stimulator to help relieve IC symptoms.Otherwise, with the …
What is the difference between a non-surgical procedure and a rehabilitation procedure?
What is the name of the routine surgical treatment of infected Bartholin's gland cysts? A. cerclage B. episiotomy ... For which procedure would the surgical technologist want to be sure to have adequate numbers of Allis or Allis-Adair tissue forceps? ... Which of the following procedures does NOT require an incision, use of trocars, or ...
Can a procedure be performed under anesthesia?
Jan 22, 2020 · Ulcers have not resolved following combined superficial vein treatment and compression therapy for at least three (3) months; and The venous insufficiency is not secondary to a DVT. Ligation or ablation of incompetent perforator veins performed concurrently with superficial venous surgery is not considered not medically necessary.
What is the most common surgical procedure?
Common Surgical Procedures. Some of the most common surgical operations done in the United States include the following: Appendectomy. An appendectomy is the surgical removal of the appendix, a small tube that branches off the large intestine, to treat acute appendicitis. Appendicitis is the acute inflammation of this tube due to infection.
What is the term for the surgical removal of foreign material and/or dead, damaged, or infected tissue from
Debridement of wound, burn, or infection. Debridement involves the surgical removal of foreign material and/or dead, damaged, or infected tissue from a wound or burn. By removing the diseased or dead tissue, healthy tissue is exposed to allow for more effective healing. Dilation and curettage (also called D & C).
What is the procedure to remove a blockage in the carotid artery?
Carotid endarterectomy is a surgical procedure to remove blockage from carotid arteries, the arteries located in the neck that supply blood to the brain. Left untreated, a blocked carotid artery can lead to a stroke. Cataract surgery. Cataracts cloud the normally clear lens of the eyes.
What type of surgery is done on the back of the breast?
The type of surgery done on the back depends on the diagnosis. Mastectomy. A mastectomy is the removal of all or part of the breast. Mastectomies are usually done to treat breast cancer.
What is a hysteroscope?
Hysteroscopy is a surgical procedure used to help diagnose and treat many uterine disorders. The hysteroscope (a viewing instrument inserted through the vagina for a visual exam of the canal of the cervix and the interior of the uterus) can transmit an image of the uterine canal and cavity to a television screen.
What is the procedure to remove a distended vein in the lower rectum?
They are most often done when the area is too large to be repaired by stitching or natural healing. Hemorrhoidectomy. A hemorrhoidectomy is the surgical removal of hemorrhoids, distended veins in the lower rectum or anus. Hysterectomy.
What is the term for the inflammation of the breast tube?
Appendicitis is the acute inflammation of this tube due to infection. Breast biopsy. A biopsy is a diagnostic test involving the removal of tissue or cells for examination under a microscope. This procedure is also used to remove abnormal breast tissue.
What is the most common surgical procedure performed in the United States?
According to the American Medical Association and the American College of Surgeons, some of the most common surgical operations performed in the United States include the following (in alphabetical order): Appendectomy is the surgical removal of the appendix , a small tube that branches off the large intestine, to treat acute appendicitis.
What is the procedure of debridement of a wound?
Debridement of wound, burn, or infection involves the surgical removal of foreign material and/or dead, damaged, or infected tissue from a wound or burn. By removing the diseased or dead tissue, healthy tissue is exposed to allow for more effective healing.
What is the difference between a hysterectomy and a hemorrhoidectomy?
H. Hemorrhoidectomy is the surgical removal of hemorrhoids, distended veins in the lower rectum or anus. Hysterectomy is the surgical removal of a woman's uterus.
What is a hysterectomy?
Hysterectomy is the surgical removal of a woman's uterus. This may be performed either through an abdominal incision or vaginally. Hysteroscopy is a surgical procedure used to help diagnose and treat many uterine disorders. The hysteroscope (a viewing instrument inserted through the vagina for a visual examination of the canal ...
What is the instrument that is inserted through the vagina for a visual examination of the canal of the cer
The hysteroscope (a viewing instrument inserted through the vagina for a visual examination of the canal of the cervix and the interior of the uterus) can transmit an image of the uterine canal and cavity to a television screen. I.
What is a C section?
Cesarean section (also called a c-section) is the surgical delivery of a baby by an incision through the mother's abdomen and uterus. This procedure is performed when physicians determine it a safer alternative than a vaginal delivery for the mother, baby, or both.
What is the surgical removal of the appendix?
Appendectomy is the surgical removal of the appendix, a small tube that branches off the large intestine, to treat acute appendicitis. Appendicitis is the acute inflammation of this tube due to infection. Breast biopsy is a diagnostic test involving the removal of tissue or cells for examination under a microscope.
What is the procedure for interstitial cystitis?
One surgical procedure, called cystoscopy with hydrodistention, may be used to both diagnosis and treat IC. Surgery may also be performed to implant an electrical nerve stimulator ...
What is the treatment for Hunner's ulcer?
Laser Surgery. Laser surgery has been used successfully to treat Hunner’s ulcers (or patches), which are present in 5 to 10 percent of IC patients. A type of transurethral fulguration, laser surgery works by destroying a layer of tissue using an electrical current or laser beam.
How often is urine emptied from a bladder?
The urine is emptied from the pouch by self-catheterization four to six times each day. Orthotopic diversion: For this procedure, the bladder is removed and a new bladder, constructed from a bowel segment, is connected to the urethra, replacing the removed bladder.
Can a bladder be removed?
The bladder may be removed or left in place. In one urinary diversion procedure, the surgeon fashions a tube or conduit from a short section of bowel and places the ureters (which carry urine from the kidneys to the bladder) in this conduit.
Can laser surgery be used for ulcerative IC?
No other uses of lasers for treating IC have been clinically proven; therefore, laser surgery should be reserved for the ulcerative form of IC only.
Is bladder surgery irreversible?
Bladder surgery is invasive and irreversible. Many IC patients who choose to have surgery may not improve. Some patients do worse after surgery. Surgery should be considered only when all other treatment choices have failed. Talk with your doctor before the procedure. Learn what to expect. Ask about potential complications such as infections, metabolic disturbances, urolithiasis (stone formation), perforation, increased mucus production, recurrence of IC, and kidney damage (over a period of 15 to 20 years).
When conservative treatments fail to provide relief from symptomatic venous insufficiency and ALL of the above
When conservative treatments fail to provide relief from symptomatic venous insufficiency and ALL of the above general criteria requirements are met, the following options may be considered medically necessary when reported for symptomatic varicose veins. However, in addition to the general medically necessary criteria above, specific requirements for each procedure must also be met:
What is current medical policy?
Current medical policy is to be used in determining a Member's contract benefits on the date that services are rendered. Contract language, including definitions and specific inclusions/exclusions, as well as state and federal law, must be considered in determining eligibility for coverage. Members must consult their applicable benefit plans or contact a Member Services representative for specific coverage information. Likewise, medical policy, which addresses the issue (s) in any specific case, should be considered before utilizing medical opinion in adjudication. Medical technology is constantly evolving, and the Company reserves the right to review and update medical policy periodically.
How many sessions of endovenous ablation?
Endovenous ablation or cyanoacrylate adhesive: One (1) treatment session each of the greater saphenous vein; one (1) session for the left greater saphenous vein or one (1) session for the right greater saphenous vein, totaling two (2) sessions.
What is the treatment for accessory saphenous veins?
Treatment of accessory saphenous veins by ligation and stripping, endovenous radiofrequency, laser ablation or cyanoacrylate adhesive may be considered medically necessary for symptomatic varicose veins/venous insufficiency when ALL of the following criteria have been met:
What is the code for varicose veins on the contralateral extremity?
Surgical treatment of varicose veins on the contralateral extremity may be considered medically necessary only if that leg is also symptomatic. Code 36471. Sclerotherapy for multiple veins on the same leg. Report this code only once per leg per session.
What is the code for varicose veins?
Surgical treatment of varicose veins on the contralateral extremity may be considered medically necessary only if that leg is also symptomatic. Code 36470. Sclerotherapy for one (1) vein on the same leg. Report this code only once per leg per session.
What is echosclerotherapy used for?
Echosclerotherapy is a technique used for perforator veins. Duplex ultrasound guidance is used to inject a sclerosing agent into varicose veins. Echosclerotherapy may be considered medically necessary when BOTH of the following criteria have been met: Perforator vein size at least 3.5 mm in diameter; and.
What is a procedure code?
This policy is intended to help explain why procedures which may not require an operating room or involve an incision or sutures are considered a surgical procedure and assigned to a surgical benefit category.
What is the procedure called to examine the inside of the body?
An endoscopy is the examination and treatment of the inside of the body by using a lighted, flexible instrument called an endoscope. In general, an endoscope is introduced into the body through a natural opening such as the mouth or anus. Although endoscopy can include examination of other organs, the most common endoscopic procedures evaluate the nose, sinuses, esophagus, stomach, and portions of the intestine. Tools for cutting, grasping, cautery, balloon dilation, or other tools may be attached or passed through the endoscope instrument.
What is the purpose of Moda Health?
The purpose of Moda Health Reimbursement Policy is to document payment policy for covered medical and surgical services and supplies. Health care providers (facilities, physicians and other professionals) are expected to exercise independent medical judgment in providing care to members. Reimbursement policy is not intended to impact care decisions or medical practice.
Where does a cardiac catheterization procedure take place?
Cardiac catheterization procedures access the heart for examination and/or treatment by passing a small tube through the skin into a blood vessel (usually in the groin or neck) and through the blood vessels to the heart. These procedures usually take place in a special radiology procedure room (e.g. cath lab) using light sedation.
Can a fractured bone be treated with an x-ray?
Some fractures and joint dislocations can be treated with x-ray assessment, ensuring proper alignment of the bones and/or joint, and stabilization and immobilization with a cast or splint. Procedure codes for closed treatment of a fractured bone, with or without manipulation, and treatment of a closed joint dislocation, with or without anesthesia, are listed in the surgical section of the CPT book.
What is an invasive procedure?
Invasive procedures include, but are not limited to, the injection of contrast materials such as used for an MRI or CT scans when these imaging procedures are accompanied by moderate or deep sedation, major upper or lower extremity nerve blocks, neuraxial or general anesthesia.
What is OBS law?
This law defines office-based surgery, requires private physician practices in which OBS is performed to maintain accreditation from an accrediting agency designated by the Commissioner of Health, and mandates reporting of select adverse events that occur subsequent to OBS. Effective February 17, 2014 podiatrists privileged to perform ankle surgery by the State Education Department must comply with the OBS law if they perform such surgeries in a private practice office utilizing more than minimal sedation or local anesthesia. Practices seeking to perform OBS must comply with the OBS law as well as all other applicable statutes and regulations.
How long does an OBS procedure last?
However, DOH OBS advisors recommend that OBS procedures be limited to those with an expected operative/procedural time of less than six hours and that OBS patients requiring the services of the post-anesthesia care unit longer than six hours be transferred to a higher level of care. 6.
What are the requirements for OBS?
These requirements include standards for procedure rooms, the need for soiled and clean utility space, standards for pre-op and recovery, sterilization facilities, emergency power, oxygen, suction and gas among other things. Additionally, localities have occupancy requirements, based upon the type of occupancies, that set standards for building construction, fire and life safety. The local/municipal requirements may have limitations on the number of persons rendered incapable of taking action for self-preservation under emergency conditions without assistance from others or are under the effects of deep sedation or general anesthesia at any one time.
How long does it take to report an OBS?
Any physician, physician assistant or specialist assistant, or podiatrist in a hospital or other setting who becomes aware of an adverse event after an OBS procedure are responsible to submit an OBS adverse event report within 72 hours of becoming aware of the event. When assessing the timeliness of reporting, the DOH considers the date of reporting noted on the form as the date the OBS adverse event form is completed and/or the date the form is submitted, whichever date is later.
What are some examples of OBS?
Examples of procedures that are OBS include but are not limited to: upper endoscopy, colonoscopy, rhinoplasty, mammoplasty, lithotripsy or vascular access related procedures when accompanied by moderate or deep sedation, major upper or lower extremity nerve blocks, neuraxial or general anesthesia. Most procedures like botulinum toxin injections and minor integumentary procedures are performed with minimal or no sedation, and therefore can be performed in offices not requiring OBS accreditation. Generally, magnetic resonance imaging (MRI) procedures are not subject to this law.
What is a hospital in PHL?
The term "hospital" as defined in PHL § 2801 (1) includes acute care or general hospitals, nursing homes, diagnostic and treatment centers, and free-standing ambulatory surgery centers. Article 28 licensed facilities are not subject to the OBS law and accredited OBS practices are not subject to PHL Article 28.
