MEDICARE & Focal Laser Ablation (FLA): “To be covered by Medicare the treatment must be “reasonable and necessary” for the problem being addressed in accordance with
Social Security Act Section 1862(a)(1)(A). Approval of the treatment by the FDA is not enough, as we all know. The letter goes on: “Medicare does not have a national coverage determination (NCD) addressing the FLA procedure.”

If anyone wants to pursue coverage the may contact Noridian at http://www.noridianmedicare.com or at 1(877)908-8431. “Noridian verified that it has not yet received any related claims for review. If a claim is submitted, medical records would be requested, and an individual determination would be made based on review of the records and any accompanying published articles.”

SOURCE: https://www.inspire.com/groups/us-too-prostate-cancer/discussion/focal-laser-ablation-coverage-by-carrier/?page=20#replies

 

 

Medicare Coverage Of Prostate Treatments

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