tci Part B Insider - 2004 Issue 21

Carrier Requirements For Stereotactic Radiosurgery

According to a local coverage decision by Part B carrier Blue Cross & Blue Shield of Arkansas, diagnoses that support stereotactic radiosurgery include: disabling symptomology in trigeminal neuralgia and Parkinson's Disease which have become "refractive to medical treatment;" primary central nervous system malignancies generally under 4 cm; primary and secondary tumors of the skull base or nasopharyngeal malignancies; benign brain tumors, such as meningiomas and acoustic neuromas; arteriovenous malformations and hemangiomas that aren't suited for other treatment modalities; boost treatment for larger lesions that have been treated initially with external beam radiation therapy or surgery; metastatic brain lesions...

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