United Health Care Capsule Endoscopy Policy

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UHC to require prior authorization for gastroenterology services

(3 days ago) WEBUnitedHealthcare (UHC) recently announced it will begin requiring prior authorization for certain gastroenterology endoscopy services for commercial plan members effective …

https://www.cmadocs.org/newsroom/news/view/ArticleId/50083/UHC-to-require-prior-authorization-for-gastroenterology-services

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capsule-endoscopy – United Gastroenterologists

(Just Now) WEBProcedures. Capsule Endoscopy. The PillCam™ ESO video capsule is specifically designed to view the inner lining of the esophagus. The capsule is equipped with …

https://unitedgi.com/procedures/capsule-endoscopy/

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Reimbursement Policy Capsule Endoscopy - AAPC

(Just Now) WEBEsophageal capsule endoscopy may be used in the evaluation of esophageal varices in patients with portal hypertension, as an alternative to upper GI endoscopy. …

https://www.aapc.com/codes/webroot/upload/general_pages_docs/document/Capsule_Endoscopy_01232013.pdf

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CG-MED-70 Wireless Capsule Endoscopy for Gastrointestinal …

(1 days ago) WEBMedically Necessary:. Wireless capsule endoscopy of the small bowel is considered medically necessary as a diagnostic imaging tool, in adults or children 2 …

https://www.anthem.com/dam/medpolicies/abcbs/active/guidelines/gl_pw_d080197.html

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United Healthcare to require pre-authorization for …

(1 days ago) WEBUnitedHealthcare's new policy for 26.7 million members with private insurance coverage will require doctors get authorization before doing endoscopy procedures used to diagnose diseases in the

https://www.usatoday.com/story/news/health/2023/05/24/united-healthcare-preauthorization-endoscopy/70235483007/

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UnitedHealthcare’s prior authorization request for GI …

(1 days ago) WEBUnitedHealthcare recently announced that beginning June 1, 2023, commercial plan members will be required to obtain prior authorization for gastroenterology endoscopy services. By far the …

https://www.healio.com/news/gastroenterology/20230502/unitedhealthcares-prior-authorization-request-for-gi-endoscopy-will-spur-delays-in-care

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Video Capsule Endoscopy - United Digestive

(9 days ago) WEBAn imaging test for the small intestine using a camera the size of a pill. Video capsule endoscopy – commonly referred to as “pill cam” – is a diagnostic procedure that …

https://www.uniteddigestive.com/services/capsule-endoscopy/

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FEP Medical Policy Manual - FEP Blue

(Just Now) WEBThe objective of this evidence review is to determine whether the use of wireless capsule endoscopy improves the net health outcome for patients with …

https://www.fepblue.org/-/media/PDFs/Medical%20Policies/04-10-2020/60133%20Wireless%20Capsule%20Endoscopy%20to%20Diagnose%20Disorders%20of%20the%20Small%20Bowel%20Esophagus%20and%20Colon.pdf

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Capsule Endoscopy Norton Healthcare

(8 days ago) WEBIf you are unable to keep your appointment or need to reschedule, call our office at (502) 896-4711 at least 48 hours prior to your procedure. If you are going to be late for your …

https://nortonhealthcare.com/services-and-conditions/gastroenterology/treatment/capsule-endoscopy/

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UnitedHealthcare in the Hot Seat Over GI Procedure 'Advance

(8 days ago) WEBThe advance notification policy also states that UnitedHealthcare "will collect the data received through advance notification to accelerate 'gold carding' for eligible …

https://www.medpagetoday.com/practicemanagement/reimbursement/104797

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Capsule Endoscopy – Medicare Advantage Policy Guideline

(6 days ago) WEBPatients with a known contraindication or allergy to any medication or preparation agent used before or during the procedure. When performed in conjunction with CT …

https://www.012397.com/content/dam/provider/docs/public/policies/medadv-guidelines/c/capsule-endoscopy.pdf

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Gastroenterology in NJ - Bergen Medical Associates

(5 days ago) WEBGastroenterology care is also important for helping to prevent and detect colorectal cancer. The federal Centers for Disease Control and Prevention notes colorectal cancer is one …

https://www.bergenmed.com/specialties/gastroenterology/

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Colonoscopy in New Jersey Hackensack Meridian Health

(5 days ago) WEBThe AI endoscopy module, authorized by the FDA in April 2021 uses computer-aided detection algorithms to identify colorectal polyps of varying shapes and sizes in real …

https://www.hackensackmeridianhealth.org/en/services/gastroenterology-and-nutrition/colonoscopy

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Gastroesophageal and Gastrointestinal (GI) Services and …

(Just Now) WEBWireless Capsule Endoscopy (CPT codes 91110 and 91111) Medicare does not have an NCD for wireless capsule endoscopy. Local Coverage Determinations (LCDs)/Local …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/index/macs/gastroesophageal-gastrointestinal-gi-services-procedures-02152022.pdf

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Essex Gastro Associates

(3 days ago) WEBThe mission of our practice is to provide quality, consultative, diagnostic and therapeutic endoscopic services to our patients with symptoms and diseases of the digestive tract, …

http://essexgastro.com/

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UnitedHealthcare Commercial Medical & Drug Policies

(7 days ago) WEBA monthly notice of recently approved and/or revised Medical Policies and Medical Benefit Drug Policies is provided below for your review. We publish a new announcement on …

https://www.uhcprovider.com/en/policies-protocols/commercial-policies/commercial-medical-drug-policies.html

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