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This document provides an evaluation of the effectiveness, evidence quality, and recommendations regarding injections of hyaluronic acid for shoulder pain related to rotator cuff tears.
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How to fill out Considered Judgement Form: Injection- Hyaluronic Acid (Shoulder)

01
Obtain the Considered Judgement Form from the relevant medical office or clinic.
02
Fill out patient information accurately, including name, age, and contact details.
03
Provide medical history relevant to shoulder issues.
04
Detail the proposed treatment plan for Hyaluronic Acid injection.
05
Ensure all necessary consents are obtained and documented.
06
Review the form for completeness and accuracy.
07
Submit the form to the appropriate medical personnel for approval.

Who needs Considered Judgement Form: Injection- Hyaluronic Acid (Shoulder)?

01
Patients with shoulder osteoarthritis or degenerative conditions.
02
Individuals seeking treatment for shoulder pain not relieved by conservative methods.
03
Medical professionals preparing treatment plans for eligible patients.
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The FDA has approved the use of manufactured HA as an injection into KNEE joints only with osteoarthritis. It is not FDA approved for us in other joints and is contra-indiccated in any type of arthritis other than osteoarthritis (i.e. Rheumatoid etc.
Doctors at NYU Langone can inject hyaluronic acid — typically produced in a laboratory — into synovial fluid in the shoulder joint to increase the fluid's viscosity and improve the joint's gliding motion. This improved joint function may provide pain relief that lasts for weeks or months.
The cost of hyaluronic acid knee injections in Chennai, India, typically ranges from ₹14,500 to ₹20,000 per injection.
The cost of hyaluronic acid injections can vary widely, usually ranging from $300 to $1000 per dose.
Doctors at NYU Langone can inject hyaluronic acid — typically produced in a laboratory — into synovial fluid in the shoulder joint to increase the fluid's viscosity and improve the joint's gliding motion. This improved joint function may provide pain relief that lasts for weeks or months.

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The Considered Judgement Form for Injection of Hyaluronic Acid in the shoulder is a documentation tool used to assess and validate the medical necessity and appropriateness of administering hyaluronic acid injections for joint pain or conditions in the shoulder area.
Healthcare providers, such as physicians or specialists administering hyaluronic acid injections, are required to file the Considered Judgement Form to ensure compliance with regulations and insurance requirements.
To fill out the Considered Judgement Form, the healthcare provider should gather patient information, specify the medical history, document the evaluation findings, detail the proposed treatment plan, and sign the form to certify the submitted information is accurate.
The purpose of the Considered Judgement Form is to provide a standardized assessment that justifies the use of hyaluronic acid injections, ensuring that they are clinically warranted and meet insurance and regulatory standards.
The form must report patient identifiers, diagnosis, treatment history, clinical findings, indication for the injection, and provider signatures, along with any other relevant information that supports the medical necessity of the treatment.
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