In particular, there are no comparative studies between this approach and standard medical therapy. However, there is insufficient scientific evidence to demonstrate the value of sural nerve graft in the management of patients with ED following radical prostatectomy. The successful use of autologous nerve grafts in reconstructive surgery has led to the advent of bilateral nerve graft (sural nerve) during radical retropubic prostatectomy to replace the resected cavernous nerves. Despite the use of nerve sparing techniques, ED is still a common adverse effect in patients, especially older men, after radical retropubic prostatectomy. The incidence of erectile dysfunction (ED) in men treated for prostate cancer has been reported to be between 20 and 88 %. ICD-10 codes not covered for indications listed in the CPB:ĭisorders of diaphragm Microporous collagen implantable slit tube (Neurawrap Nerve Protector), per centimeter lengthĬollagen nerve cuff (neuromatrix), per 0.5 centimeter lengthĬollagen matrix nerve wrap (neuromend collagen nerve wrap), per 0.5 centimeter length Microporous collagen implantable tube (Neuragen Nerve Guide), per centimeter length HCPCS codes not covered for indications listed in the CPB: Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance when performed With bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes With lymph node biopsy(s) (limited pelvic lymphadenectomy) Prostatectomy, retropubic radical, with or without nerve sparing Nerve repair with nerve allograft, each additional strand (List separately in addition to code for primary procedure) Nerve repair with nerve allograft, each nerve, first strand (cable) Nerve repair with autogenous vein graft (includes harvest of vein graft), each nerve
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Sural nerve, cavernous, or genitofemoral grafts-No specific code: Table: CPT Codes / HCPCS Codes / ICD-10 Codes CodeĬPT codes not covered for indications listed in the CPB:
![aetna clinical policy bulletin dorsal column stimulation aetna clinical policy bulletin dorsal column stimulation](https://brainmadesimple.com/wp-content/uploads/2019/11/The-Dorsal-Column.jpg)
Note: Nerve wraps and conduits are considered integral to the surgical procedure and not separately reimbursed. The Avance Nerve Graft, Axogen 2 Nerve Wrap, AxoGen Nerve Protector and Nerve Connector, Integra Neural Wrap, the NeuraGen Nerve Guide, the NeuraWrap Nerve Protector, Neuromatrix collagen nerve cuff, and NeuroMend collagen nerve wrap for all indications because of insufficient evidence in the peer-reviewed literature.
![aetna clinical policy bulletin dorsal column stimulation aetna clinical policy bulletin dorsal column stimulation](https://image1.slideserve.com/1856816/dorsal-columns-spinothalamic-tracts-l.jpg)
![aetna clinical policy bulletin dorsal column stimulation aetna clinical policy bulletin dorsal column stimulation](https://openi.nlm.nih.gov/imgs/512/179/3094295/PMC3094295_1752-1947-5-166-4.png)
Number: 0416 Table Of Contents Policy Applicable CPT / HCPCS / ICD-10 Codes Background References