Dartmouth Headache Center, Neurology Department, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Beth Israel Deaconess Medical Center, Boston, MA, USA.
Headache. 2017 Oct;57(9):1428-1430. doi: 10.1111/head.13180. Epub 2017 Aug 30.
Oxygen is the standard of care for acute treatment of cluster headache. CMS, the US Centers for Medicaid and Medicare Services, has made the indefensible decision to not cover oxygen for cluster headache for patients with Medicaid and Medicare insurance, despite the evidence and professional guidelines. Commercial insurance generally covers oxygen for cluster headache.
This is a "how-to" guide for successfully prescribing oxygen in the US.
Prescription information is provided that can be incorporated as dot phrases, smart sets, or other standard templates for prescribing oxygen for cluster patients. In many states, oxygen is affordable and can be prescribed for Medicaid and Medicare patients who wish to pay cash. Welding or nonmedical grade industrial oxygen is almost the same cost as medical oxygen. However, it is less pure, lacks the same inspection of tanks, and is delivered without regulators to provide appropriate flow rates. Patients who pay cash should be strongly encouraged to buy medical oxygen.
氧气是治疗丛集性头痛的标准治疗方法。美国医疗保险和医疗补助服务中心（CMS）做出了一个站不住脚的决定，即不为有医疗补助和医疗保险的丛集性头痛患者提供氧气治疗，尽管有证据和专业指南支持。商业保险通常涵盖丛集性头痛的氧气治疗。
本指南旨在指导在美国成功开具氧气治疗处方。
提供了处方信息，可以将其纳入点短语、智能集或其他标准模板中，用于为丛集性头痛患者开具氧气治疗处方。在许多州，氧气价格实惠，可以为有意愿支付现金的医疗补助和医疗保险患者开具。焊接或非医用级工业氧气的成本几乎与医用氧气相同。然而，它的纯度较低，缺乏对罐的相同检查，并且在没有调节器的情况下输送，无法提供适当的流速。应强烈鼓励支付现金的患者购买医用氧气。
