It is medically necessary that the drug be administered by an implanted infusion pump; and The drug is medically necessary for the treatment of members see medical necessity criteria for various types of infusion pumps below ; and The infusion pump has been approved by the FDA for infusion of the particular drug that is to be administered. Anti-Spasmodic Drugs Aetna considers an implantable infusion pump medically necessary when used to intrathecally administer anti-spasmodic drugs e.
It is medically necessary that the drug be administered by an implanted infusion pump; and The drug is medically necessary for the treatment of members see medical necessity criteria for various types of infusion pumps below ; and The infusion pump has been approved by the FDA for infusion of the particular drug that is to be administered.
Anti-Spasmodic Drugs Aetna considers an implantable infusion pump medically necessary when used to intrathecally administer anti-spasmodic drugs e.
Member has failed a six-week trial of non-invasive methods of spasticity control, such as oral anti-spasmodic drugs, either because these methods fail to adequately control the spasticity or produce intolerable side effects; and Member has a favorable response to a trial intrathecal dosage of the anti-spasmodic drug prior to pump implantation.
Intrathecal baclofen Lioresal is considered medically necessary for the treatment of intractable spasticity caused by spinal cord disease, spinal cord injury, or multiple sclerosis and for stiff person syndrome.
Baclofen is considered medically necessary for persons who require spasticity to sustain upright posture, balance in locomotion, or increased function.
A trial of oral baclofen is not a required prerequisite to intrathecal baclofen therapy in children ages 12 years old or less due to the increased risk of adverse effects from oral baclofen in this group.
The medical record should document that the member showed a favorable response to the trial dosage of the baclofen before subsequent dosages are considered medically necessary. An implanted pump for continuous fusion is considered not medically necessary for members who do not respond to a mcg intrathecal bolus.
Intrathecal baclofen, when combined with other agents clonidine, hydromorphone, morphine, and zinconotideis considered experimental and investigational because the safety and effectiveness of these combinations has not been established.
An implantable infusion pump is considered medically necessary when used to administer opioid drugs e. Intrahepatic Chemotherapy Infusion for Liver Metastases from Colorectal Cancer Implantable infusion pumps are considered medically necessary for administration of intrahepatic chemotherapy e. Aetna considers "one-shot" arterial chemotherapy for persons with liver metastases from colorectal cancer experimental and investigational.
Hospital discharge is dependent on resolution of pain, nausea and vomiting which complicate the procedure. Contraindications to Implantable Infusion Pumps Implantable infusion pumps are considered not medically necessary for persons with the following contraindications to implantable infusion pumps: Members who have an active infection that may increase the risk of the implantable infusion pump; or Members whose body size is insufficient to support the weight and bulk of the device; or Members with known allergy or hypersensitivity to the drug being used e.
Implantable infusion pumps for intrahepatic administration of chemotherapy for indications other than noted above, including treatment of hepatic metastases from cancers other than colorectal cancer; or Implantable pumps for the infusion of heparin for recurrent thromboembolic disease; or Implantable pumps for the infusion of insulin to treat diabetes; or Implantable pumps for the infusion of baclofen for chronic neuropathic pain e.
External Infusion Pumps Aetna considers external infusion pumps medically necessary DME for administration of any of the following medications: Certain parenteral anticancer chemotherapy drugs e. Aetna considers external infusion pumps experimental and investigational for all other indications.
Members must meet all of the following criteria: The member has been on a program of multiple daily injections of insulin i. Aetna considers external infusion pumps for diabetes experimental and investigational where the above-listed criteria are not met.
It may be considered medically necessary for poorly controlled women with diabetes to sometimes get started on the pump pre-pregnancy or in the first trimester.
Notes on External Insulin Infusion Pumps: Aetna considers a programmable disposable external insulin infusion pump e. Documentation of continued medical necessity of the external insulin infusion pump requires that the member be seen and evaluated by the treating physician at least once every 6 months.
External subcutaneous insulin infusion pumps are only considered medically necessary for persons who have demonstrated ability and commitment to comply with a regimen of pump care, frequent self-monitoring of blood glucose, and careful attention to diet and exercise.
Some external insulin infusion pumps e. These insulin pump features, when present, are considered integral to the external insulin infusion pump and blood glucose monitor.3 This guideline is for the use of a variable rate intravenous insulin infusion (VRIII) in adult inpatients with medical conditions and diabetes/hyperglycaemia, who require intravenous administration of insulin to keep their blood.
Subsystem block diagrams, IC solutions, reference designs and more for medical, healthcare, and fitness applications. Learn about Tresiba (Insulin Degludec Injection) may treat, uses, dosage, side effects, drug interactions, warnings, patient labeling, reviews, and related medications.
Insulin is a protein hormone that is used as a medication to treat high blood glucose. This includes in diabetes mellitus type 1, diabetes mellitus type 2, gestational diabetes, and complications of diabetes such as diabetic ketoacidosis and hyperosmolar hyperglycemic states.
It is also used along with glucose to treat high blood potassium levels. Typically . TI innovation helps enable next-generation healthcare designs. Our product innovation and systems expertise in sensing, imaging and wireless connectively help you meet increasing design challenges and achieve the highest quality and reliability that the healthcare market demands.
Sectors in the syringe and needle market include disposable and safety syringes, injection pens, needleless injectors, insulin pumps, and specialty needles. Hypodermic syringes are used with hypodermic needles to inject liquid or gases into body tissues, or to remove from the heartoftexashop.coming of air into a blood vessel is hazardous, as it may cause .