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DESCRIPTIONThe parathyroid glands regulate the release of parathormone, the hormone that controls calcium and phosphorus metabolism and the processing of Vitamin D. Patients with end-stage renal disease may develop secondary hyperparathyroidism when the parathyroid glands attempt to counteract deteriorating kidney function. Persistent or recurrent hyperparathyroidism may develop following total or subtotal parathyroidectomy. Management includes both surgical and non-surgical options.
In the event that medical management of hyperparathyroidism fails and the patient undergoes total or subtotal parathyroidectomy, parathyroid autotransplantation may be performed following surgery when the viability of the parathyroid gland is questioned.
POLICYParathyroid autotransplantation is considered investigational only when done as a separate procedure.
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated and as such therefore is not considered medically necessary.
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language.
POLICY HISTORY5/2000: Approved by Medical Policy Advisory Committee (MPAC)
2/11/2002: Investigational definition added
5/2/2002: Type of Service and Place of Service deleted
9/1/2004: “Parathyroid autotransplantation is considered investigational only when done as a separate procedure” added based on the minutes of 5/2000 MPAC
11/18/2004: Reviewed by MPAC, no changes
12/30/2004: Code Reference section completed
3/28/2005: Code Reference section reviewed, no changes
12/31/2008: Policy reviewed, no changes
Hayes Medical Technology Directory
CODE REFERENCEThis may not be a comprehensive list of procedure codes applicable to this policy.