
Cigna's Medical Coverage Position on Diaphragmaticphrenic Nerve Form
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People also ask
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What are the contraindications for phrenic nerve pacing?
Contraindications to diaphragm pacing are: severe, chronic pulmonary disease, tracheo-bronchial stenosis, diaphragmatic paralysis, and myopathy. A relative contraindication is the age below one year.
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What are the complications of phrenic nerve pacing?
Complications can occur in 6% to 12.6% of cases. Common complications include hematomas, pneumothorax, cardiac injury or tamponade, lead dislodgement, deep venous thrombosis, infection and lead or device malfunctions. However rarely, phrenic nerve stimulation (PNS) can occur.
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What are the contraindications for cardiac pacing?
In patients with severe hypothermia, cardiac pacing is relatively contraindicated. In these patients, bradycardia may be a physiologic phenomenon resulting from decreased metabolic rate. Also, as body temperature drops, the ventricles become more prone to fibrillation and more resistant to defibrillation.
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What are the indications for phrenic nerve stimulation?
The FDA-approved indications are: For use in patients with stable, high spinal cord injuries with stimulatable diaphragms, but who lack control of their diaphragms. The device is indicated to allow the patients to breathe without the assistance of a mechanical ventilator for at least 4 continuous hours a day.
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What aggravates phrenic nerve?
Surgical procedures, tumors and other issues may irritate your phrenic nerve, bringing on persistent hiccups. Persistent hiccups can be uncomfortable and annoying. They can affect your ability to talk, sleep and eat.
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What is the CPT code for phrenic nerve stimulation?
CPT 33276 Insertion of phrenic nerve stimulator system (pulse generator and stimulating lead[s]), including vessel catheterization, all imaging guidance, and pulse generator initial analysis with diagnostic mode activation, when performed 33277 Insertion of phrenic nerve stimulator transvenous sensing lead16 more rows
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