What is PROPHECY Navigation? · These same images from the diagnostic MRI may, in turn, be further...
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What is PROPHECY ® Navigation? The Centers for Medicare & Medicaid Services (CMS) established a National Coverage Determination (NCD) for MRIs. The NCD outlines the parameters for coverage and non-coverage. Specifically, the NCD states that “MRI is considered medically efficacious” for a number of diagnostic uses and that the descriptions (in the NCD) should be used as general guidelines or examples of what may be considered covered rather than as a restrictive list of specific covered indications. It goes on to note that CMS has determined that “imaging of cortical bone and calcifications, and procedures involving spatial resolution of bone and calcifications, are not considered reasonable and necessary indications” and are therefore “noncovered.” MRIs performed prior to total joint replacement procedures for diagnostic purposes, however, may be considered medically necessary (see First Coast Service Options LCD for total joints) and billed using the CPT codes that accurately describe the imaging procedure furnished to the patient. These same images from the diagnostic MRI may, in turn, be further utilized for developing the personalized cutting or navigation guides that are used in orthopaedic procedures. However, if providers perform MRIs solely for the purpose of developing personalized cutting instruments or guides, providers should contact the payer for billing and coverage guidance and/or the American College of Radiology with billing questions. • PROPHECY ® Preoperative Navigation creates a preoperative plan and patient- specific surgical guides. • Can be used with the aMP™ and eMP™ Knee Systems.
Transcript of What is PROPHECY Navigation? · These same images from the diagnostic MRI may, in turn, be further...
What is PROPHECY® Navigation?
The Centers for Medicare & Medicaid Services (CMS) established a National Coverage Determination (NCD) for MRIs. The NCD outlines the parameters for coverage and non-coverage.
Specifically, the NCD states that “MRI is considered medically efficacious” for a number of diagnostic uses and that the descriptions (in the NCD) should be used as general guidelines or examples of
what may be considered covered rather than as a restrictive list of specific covered indications. It goes on to note that CMS has determined that “imaging of cortical bone and calcifications, and
procedures involving spatial resolution of bone and calcifications, are not considered reasonable and necessary indications” and are therefore “noncovered.” MRIs performed prior to total joint
replacement procedures for diagnostic purposes, however, may be considered medically necessary (see First Coast Service Options LCD for total joints) and billed using the CPT codes that
accurately describe the imaging procedure furnished to the patient. These same images from the diagnostic MRI may, in turn, be further utilized for developing the personalized cutting or navigation
guides that are used in orthopaedic procedures. However, if providers perform MRIs solely for the purpose of developing personalized cutting instruments or guides, providers should contact the
payer for billing and coverage guidance and/or the American College of Radiology with billing questions.
• PROPHECY® Preoperative Navigation
creates a preoperative plan and patient-
specific surgical guides.
• Can be used with the aMP™ and eMP™
Knee Systems.
PROPHECY® Product Branding
PROPHECY® Preoperative
Navigation Guides
Envision the Results™
• Simple
• Fast
• Accurate
Preoperative Navigation Benefits
• No violation of the intramedullary canal
• Reduced surgery steps
• Reduced instrumentation required
• Predetermined alignment and resections
PROPHECY® Process
A rapid prototyping
machine produces patient-
specific PROPHECY®
guides out of high
resolution nylon. Guides
are then sent out for
surgery.
The Patient receives a
CT or MRI scan
following PROPHECY®
guide protocol.
PROPHECY® Process - Imaging
• Scan center follows CT or MRI protocol (detailed protocols are available on emedia as literature items)
• Scan is sent to MPO:• Uploaded to Case Management site• Uploaded to FTP site• Sent on CD by mail
PROPHECY® Process – Scan Processing
• Solid model created
• Virtual surgery performed
PROPHECY® Process – Approval
• Preoperative report generated
• Report is approved by the surgeon via the website
PROPHECY® Process – Surgery
• Guides are steam sterilized under the same guidelines as all other instruments
• Surgery is performed
PROPHECY® Process – Guide Options
Option 1. Resection Option 2. Pin alignment
PROPHECY® Knee Procedure
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