Electrical Stimulators - Cigna
Electrical Stimulators - Cigna Electrical Stimulators - Cigna
164. Yamanishi T, Mizuno T, Watanabe M, Honda M, Yoshida K. Randomized, placebo controlled study of electrical stimulation with pelvic floor muscle training for severe urinary incontinence after radical prostatectomy. J Urol. 2010 Nov;184(5):2007-12. 165. Yan T, Hui-Chan CW. Transcutaneous electrical stimulation on acupuncture points improves muscle function in subjects after acute stroke: a randomized controlled trial. J Rehabil Med. 2009 Apr;41(5):312-6. 166. Yoong W, Ridout AE, Damodaram M, Dadswell R. Neuromodulative treatment with percutaneous tibial nerve stimulation for intractable detrusor instability: outcomes following a shortened 6-week protocol. BJU Int. 2010 Dec;106(11):1673-6. doi: 10.1111/j.1464-410X.2010.09461.x. 167. Zuim PR, Garcia AR, Turcio KH, Hamata MM. Evaluation of microcurrent electrical nerve stimulation (MENS) effectiveness on muscle pain in temporomandibular disorders patients. J Appl Oral Sci. 2006 Jan;14(1):61-6. Page 40 of 41
Policy History Pre-Merger Last Review Policy Title Organizations Date Number Cigna HealthCare 8/15/2008 0160 Electrical Stimulators Great-West Healthcare 8/23/2007 07.355.01 Incontinence, Posterior Tibial Nerve Stimulation (PTNS) 7/28/2006 04.239.02 Interferential Therapy 1/23/2008 06.335.02 Percutaneous Neuromodulation Therapy (PNT) The registered marks "Cigna" and "Cigna HealthCare" as well as the "Tree of Life" logo are owned by Cigna Intellectual Property, Inc., licensed for use by Cigna Corporation and its operating subsidiaries. All products and services are provided by or through such operating subsidiaries and not by Cigna Corporation. Such operating subsidiaries include Connecticut General Life Insurance Company, Cigna Health and Life Insurance Company, Cigna Behavioral Health, Inc., Cigna Health Management, Inc., and HMO or service company subsidiaries of Cigna Health Corporation and Cigna Dental Health, Inc. In Arizona, HMO plans are offered by Cigna HealthCare of Arizona, Inc. In California, HMO plans are offered by Cigna HealthCare of California, Inc. In Connecticut, HMO plans are offered by Cigna HealthCare of Connecticut, Inc. In North Carolina, HMO plans are offered by Cigna HealthCare of North Carolina, Inc. In Virginia, HMO plans are offered by Cigna HealthCare Mid- Atlantic, Inc. All other medical plans in these states are insured or administered by Connecticut General Life Insurance Company or Cigna Health and Life Insurance Company. Page 41 of 41
- Page 1 and 2: Cigna Medical Coverage Policy Subje
- Page 3 and 4: • microcurrent electrical nerve s
- Page 5 and 6: ongoing assessment and management a
- Page 7 and 8: Neck Pain: Following a systematic r
- Page 9 and 10: of patients with chronic pain who h
- Page 11 and 12: suppress spasticity. FES is a high-
- Page 13 and 14: nerve electrical stimulation (OG) (
- Page 15 and 16: terms of improving gait, but the ef
- Page 17 and 18: standardized protocol for IFT, and
- Page 19 and 20: velocity, which was sustained at si
- Page 21 and 22: adverse events included ankle bruis
- Page 23 and 24: Rhodes Index of Nausea, Vomiting an
- Page 25 and 26: Codes 337.20- 337.29 Reflex sympath
- Page 27 and 28: 496 Chronic airway obstruction, not
- Page 29 and 30: 2. Agency for Healthcare Research a
- Page 31 and 32: 29. Chou R, Loeser JD, Owens DK, Ro
- Page 33 and 34: 59. Guido EH. Effects of sympatheti
- Page 35 and 36: 90. Laufer Y, Ring H, Sprecher E, H
- Page 37 and 38: 121. Proctor M, Farquhar C, Stones
- Page 39: 150. U.S. Food and Drug Administrat
Policy History<br />
Pre-Merger Last Review Policy Title<br />
Organizations Date Number<br />
<strong>Cigna</strong> HealthCare 8/15/2008 0160 <strong>Electrical</strong> <strong>Stimulators</strong><br />
Great-West Healthcare 8/23/2007 07.355.01 Incontinence, Posterior Tibial Nerve<br />
Stimulation (PTNS)<br />
7/28/2006 04.239.02 Interferential Therapy<br />
1/23/2008 06.335.02 Percutaneous Neuromodulation<br />
Therapy (PNT)<br />
The registered marks "<strong>Cigna</strong>" and "<strong>Cigna</strong> HealthCare" as well as the "Tree of Life" logo are owned by <strong>Cigna</strong> Intellectual Property, Inc., licensed<br />
for use by <strong>Cigna</strong> Corporation and its operating subsidiaries. All products and services are provided by or through such operating subsidiaries<br />
and not by <strong>Cigna</strong> Corporation. Such operating subsidiaries include Connecticut General Life Insurance Company, <strong>Cigna</strong> Health and Life<br />
Insurance Company, <strong>Cigna</strong> Behavioral Health, Inc., <strong>Cigna</strong> Health Management, Inc., and HMO or service company subsidiaries of <strong>Cigna</strong> Health<br />
Corporation and <strong>Cigna</strong> Dental Health, Inc. In Arizona, HMO plans are offered by <strong>Cigna</strong> HealthCare of Arizona, Inc. In California, HMO plans are<br />
offered by <strong>Cigna</strong> HealthCare of California, Inc. In Connecticut, HMO plans are offered by <strong>Cigna</strong> HealthCare of Connecticut, Inc. In North<br />
Carolina, HMO plans are offered by <strong>Cigna</strong> HealthCare of North Carolina, Inc. In Virginia, HMO plans are offered by <strong>Cigna</strong> HealthCare Mid-<br />
Atlantic, Inc. All other medical plans in these states are insured or administered by Connecticut General Life Insurance Company or <strong>Cigna</strong> Health<br />
and Life Insurance Company.<br />
Page 41 of 41
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