decisionhealth Newsletters, Answer Books - 2007 Issue 8 (August)
National_Coverage_Determinations_Manual / Blood Brain Barrier Osmotic Disruption for Treatment of Brain Tumors 110.20
Subscribe or sign in to view the full article.
Article Overview
This page explains a Medicare National Coverage Determination concerning blood-brain barrier osmotic disruption for treatment of brain tumors. It covers the clinical background, the general procedure context, and the CMS coverage position and timing. The article is relevant to hospital-based coding, oncology-related services, and reimbursement teams that need to understand the scope of the NCD and related coverage implications.
Why This Topic Matters
It helps readers identify whether the Medicare coverage policy applies to a brain tumor treatment scenario and understand the policy’s effective period and scope within the NCD manual.
Article Sections
-
A. General
Provides a general overview of the blood-brain barrier in the central nervous system and describes the broad treatment context addressed by the policy. It also notes the types of service components involved in the procedure setting.
-
B. Nationally Covered Indications
Identifies the nationally covered indications section and indicates that no covered indication is specified in this policy entry.
-
C. Nationally Non-Covered Indications
Describes the national non-coverage status for the service in the setting addressed by the article and includes the effective date context for that determination.
-
D. Other
Provides a brief miscellaneous note clarifying that the policy does not change coverage for anti-cancer chemotherapy and includes the last review date.
What You Will Learn
- The general clinical and policy context for blood-brain barrier osmotic disruption in brain tumor care
- How CMS organizes the coverage determination into covered, non-covered, and other sections
- The effective date and review-date context associated with the policy
- The broad scope of services addressed by the procedure setting
Who Should Read This
- Medical coders
- Billing staff
- Compliance teams
- Oncology practice administrators
- Hospital revenue cycle professionals
- Healthcare policy analysts
Subscribe or sign in to view the full article.


Quick, Current, Complete - www.findacode.com