Topics:
Breast Cancer • Radiation Oncology
To obtain insurance approval for DIBH when treating left breast cancers, are there particular dose constraints to sites that you employ?
What total heart dose and LAD dose do you typically utilize to justify the DIBH technique?
Answer from: Radiation Oncologist at Community Practice
I am surprised insurance companies are still restricting the use of DIBH for left side breast cancer and need some metrics to support it.
Mean dose to heart is low with DIBH as it helps to restrict scatter and transmission from conformal heart block and knowing each Gy to the heart matters, DIBH is...
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Answer from: Radiation Oncologist at Community Practice
Are folks being denied for IMRT on the L side, unless providing proof of reduced MHD (with or without DIBH)?
Comments
Radiation Oncologist at Hilton Head Hospital
No. I work for EviCore and DIBH with IGRT is appro...
No. I work for EviCore and DIBH with IGRT is appro...
Radiation Oncologist at Helen F. Graham Cancer Center
They seem to ask for numbers now on their latest f...
They seem to ask for numbers now on their latest f...
Radiation Oncologist at Allegheny Health Network
I never actually submit the numbers and haven&rsqu...
I never actually submit the numbers and haven&rsqu...
Answer from: Radiation Oncologist at Community Practice
I’m in prior auth part time.
Left-sided + nodes treated with IMRT are auto-approved by us.
I strongly recommend DIBH, regardless of technique and this would never be denied.