Will insurance cover NA (Needle Aponeurtomy for Dupuytren's)
Insurance companies vary considerably in their approach to NA. Straight Medicare covers it, but HMO's and Medicare Advantage plans do not. While HMO's cover the open surgical approach (fasciectomy for Dupuytrens) they usually consider NA experimental and will say the open surgery is the best option, despite the additional costs of hospital, anesthesia, and longer hand therapy. Private insurance companies vary in their coverage. You can call them and see if they cover CPT code 26040 (needle fasciotomy) for Dupuyten's and for how much per finger. The diagnosis code for Dupuyten's is 728.6.
How much does NA cost?
The initial consultation fee is 95 dollars. The cost of the first finger for NA is 795 dollars and each subsequent finger is 375 dollars. There are no hospitalization or anesthesiologist costs. Patients with more severe diseas may need follow-up hand therapy and custom splinting.
Does Dupuytren's recur after NA?
Dupuytren's disease returns after both surgery and NA. It is more likely to return after NA since the disease is not removed, only separated and pierced via NA technique.
However, recurrent disease after open surgery is difficult to retreat. Performing a second NA is much like the first one.