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I'm 80 years old and I have arthritis in my knee. I want to get radiofrequency ablation, but I'm worried that Medicare won't cover it. How can I convince them?
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Medicare coverage for radiofrequency ablation (RFA) is determined by factors such as medical necessity, approved indications, diagnosis documentation, participating providers, location of service, Medicare plan type, and the consideration of alternative treatments. The procedure must be deemed medically necessary and supported by appropriate documentation. Coverage may vary depending on the specific condition being treated and whether RFA is considered a reasonable and appropriate treatment option. Beneficiaries should check with Medicare and their healthcare provider to understand the coverage criteria for RFA in their particular medical circumstances. Prior authorization may be required for certain cases to ensure Medicare coverage for RFA.
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