March 1, 2017
Effective February 20, 2017, eviCore healthcare (eviCore) updated their clinical guidelines for massage therapy. eviCore is Premera's partner for outpatient rehabilitation services review.
You can locate the updated massage therapy services clinical guidelines on eviCore's dedicated Premera website. Here's a summary of the updates you'll see:
- New guideline added for fibromyalgia
- Addition of ICD-10 codes listed under some conditions
- Notation added under each condition: “Pain may be acute or chronic”
- Addition under the Scope of Musculoskeletal Examination section: includes “Inquiry about pain levels and functional abilities”
- Changes to Massage Therapy Management and Referral Guidelines sections: information emphasizes transition to active care and appropriate discharge or referral
- Changes to Self-Management Techniques section: added techniques and modified the list order to better emphasize active rehabilitation
- Changes to Alternatives/Adjuncts to Massage Therapy section: added alternatives and changed the list to alphabetical order
Review these guidelines with your staff so your office is referring to the updated version. If you have further questions, call eviCore healthcare at 800-792-8751, from 7 a.m. to 7 p.m., Monday through Friday.