Webe. Strains/Tears#of#Tendons# i. Strain#and#tears#occur#as#aresult#of#trauma# 1. State“strain#and#tear#of#posterior#tibial#flexor#tendon.”# ii. … WebDeficient rotator cuff with glenohumeral arthropathy furthermore limited ability to actively flex the high limb toward 90 degrees for gravity; or; Failed hemiarthroplasty; or; Failed total shoulder arthroplasty with failed rotator cuff that is non-repairable; or; Mass rotator cuff crying using pseudo-paralysis and without osteoarthritis; or
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WebPolicy Applicable CPT / HCPCS / ICD-10 Codes Setting References Policy Aetna considers tomography (US) guidance medically necessary for the following procedures (not an all-inclusive list): WebS86.1 Injury of other muscle (s) and tendon (s) of posterior muscle group at lower leg level. NON-BILLABLE. S86.10 Unspecified injury of other muscle (s) and tendon (s) of posterior … inclination\\u0027s wg
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WebSep 13, 2024 · Flexor tenolysis is a surgical procedure used to remove adhesions that inhibit active flexion of digits. [1, 2, 3] Normal active tendon function requires that flexor tendons … WebPolicy Scope of Policy. This Clinical Policy Bulletin addresses chiropractic services. Medical Necessity. Aetna considers chiropractic services medically necessary when all of the following criteria are met:. The member has a neuromusculoskeletal disorder; and The medical necessity required treatment is clearly documented; and Improvement is … WebProfundus tendon avulsion (736.29) Biceps tendon rupture (727.62) Rupture, hand/wrist extensor tendon (727.63) Rupture, hand/wrist flexor tendons (727.64) Late effect of … inboxhealth/patient