{"id":6433,"date":"2021-03-30T17:13:58","date_gmt":"2021-03-30T17:13:58","guid":{"rendered":"http:\/\/hnetalk.com\/provider\/?p=6433"},"modified":"2021-03-31T13:04:46","modified_gmt":"2021-03-31T13:04:46","slug":"clinical-review-criteria-update-radiofrequency-ablation","status":"publish","type":"post","link":"http:\/\/hnetalk.com\/provider\/clinical-review-criteria-update-radiofrequency-ablation\/","title":{"rendered":"Clinical Review Criteria Update &#8211; Radiofrequency Ablation"},"content":{"rendered":"<p>Policy Number: UM433POL<br \/>\nEffective Date: 6\/1\/2021<br \/>\nLOB Affected: Commercial, Medicare, Medicaid<br \/>\nPolicy Type: Medical<\/p>\n<ul>\n<li>Added 11 definitions<\/li>\n<li>I., Criteria for Approval<\/li>\n<\/ul>\n<p>Added LCD link to use for all lines of business to determine if member meets criteria<\/p>\n<ul>\n<li>Original Sections I. and II.<\/li>\n<\/ul>\n<p>The information originally included in Sections I. and II. was deleted.<\/p>\n<ul>\n<li>II., What is Not Covered? (Formerly Section III.)<\/li>\n<li>Added the question mark to the section heading<\/li>\n<li>B., Added 7.: \u201cRadiofrequency denervation for sacroiliac joint pain\u201d<\/li>\n<li>C.: Deleted all the ICD-10 codes<\/li>\n<li>CPT Codes<\/li>\n<\/ul>\n<p>Updated to indicate 64624 and 64625 are not covered benefits for HNE members<\/p>\n<ul>\n<li>Source\/Citation Section<\/li>\n<li>Sources confirmed and updated as needed<\/li>\n<li>Added 2 new resources<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Policy Number: UM433POL Effective Date: 6\/1\/2021 LOB Affected: Commercial, Medicare, Medicaid Policy Type: Medical Added 11 definitions I., Criteria for Approval Added LCD link to use for all lines of business to determine if member meets criteria Original Sections I. and II. The information originally included in Sections I. and II. was deleted. II., What [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":5309,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[92],"tags":[],"class_list":["post-6433","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-provider-newsletter"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/hnetalk.com\/provider\/wp-content\/uploads\/2020\/05\/GettyImages-155965442.jpg?fit=3744%2C5616","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p6ZZHB-1FL","_links":{"self":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/6433","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/comments?post=6433"}],"version-history":[{"count":5,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/6433\/revisions"}],"predecessor-version":[{"id":6471,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/6433\/revisions\/6471"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media\/5309"}],"wp:attachment":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=6433"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=6433"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=6433"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}