Hyaluronic Acid/Viscosupplementation

Osteoarthritis is characterized by damage to articular cartilage, changes in subchondral bone and osteophyte formation. In patients with osteoarthritic joints, both the molecular weight and concentration of endogenous hyaluronan are reduced, and hence, the joint is more susceptible to damage. Hyaluronic acid is a naturally occurring component of synovial fluid and cartilage. It is suggested that the viscous nature of the compound may act as a joint lubricant, whereas its elasticity may act as a shock absorber.

Coverage decision: Hyaluronic acid/Viscosupplementation is covered with conditions (Effective date: June 1, 2014).

Authorization requirements


Is authorization required?

How do I get pre-authorization?

Yes

L&I (State fund):
Complete the Preauthorization Form and fax to (360) 902-4567

Self-insured:
Contact the employer or its third party administrator

 

Regulatory authority and related information

 

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