Pain Relief

First Medicare coverage of ON-Q PainBuster announced

Published in Managed Care Weekly Digest, December 6th, 2004

I-Flow Corporation (IFLO) announced the first coverage by Medicare for ON-Q PainBuster, related to a specific case when the device was used for a patient following hernia surgery.

The decision that ON-Q was medically necessary and therefore payable was made by an administrative law judge based upon the law and clinical evidence submitted by I-Flow. The appeal featured highlights of ON-Q's recently cleared enhanced labeling as well as clinical data demonstrating the benefits of the ON-Q Soaker Catheter.

Historically, all of Medicare's contractors, or DMERCs, have adopted policies that resulted in denied payments for ON-Q PainBuster.

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Source: Managed Care Weekly Digest (2004-12-06)

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