Surgery & Injections
Achalasia & Gastroesoph-ageal Reflux Disease (GERD) Treatments
Appendectomy
Bariatric Surgery Children & Adolescents
-Maryland-
-Humana--
Breast Ductal Lavage & Fiberoptic Ductoscopy
Breast & Ovarian Cancer Susceptibility Gene Testing, Prophylactic Mastectomy, & Prophylactic Oophorectomy
Cecostomy for Fecal Incontinence
Cholecystectomy
Colectomy
Continent Ileostomy & Urostomy
-Aetna--
Destruction of Internal Hemorrhoid(s) by Infrared Coagulation (IRC)
Diagnostic Esophagogastro-duodenoscopy (EGD) or Esophagoscopy (age 59 years or younger)-
-FloridaBlue--
Fiberoptic Endoscopic Evaluation of Swallowing (FEES) & Fiberoptic Endoscopic Evaluation of Swallowing with Sensory Testing (FEESST) & Laryngo-pharyngeal Endoscopic Esthesiometer (LPEER)
Gastric Pacing, Enterra Therapy
Gastropho-tography
(NCD 100.12)
-Aetna-
Incision & Drainage of Abscess of Skin, Subcutaneous & Accessory Structures
Inguinal or Femoral Herniorrhaphy
Intraperitoneal Hyperthermic Chemotherapy for Abdominopelvic Cancers
Lipoma Excision
Lipoma Removal
Minimally Invasive Hemorrhoid Procedures
Monitored Anesthesia Care for Gastrointestinal Endoscopic Procedures
Peristeen Anal Irrigation System
Peroral Endoscopic Myotomy (POEM)
Minimally Invasive Anti-Reflux Procedures and Peroral Endoscopic Myotomy (POEM) Procedures
Select Minimally Invasive GERD Procedures (L35080)
Small Bowel Resection
Solesta Treatment for Fecal Incontinence
Surgical Management of Morbid Obesity
-Cigna-
Transanal Endoscopic Surgery (TES)
Transcatheter Arterial Chemoembolization as a Treatment for Primary or Metastatic Liver Malignancies
Transoral Incisionless Fundoplication (TIF)
Transrectal Ultrasound (TRUS)
Upper Gastrointestinal Endoscopy (Diagnostic & Therapeutic
Ventral Hernia Repair
Wireless Capsule Endoscopy
Wireless Capsule Endoscopy for Gastrointestinal Imaging & the Patency Capsule
-Anthem--
Indicates Non-Covered Service
Ablative Treatments for Malignant Breast Tumors
-Cigna--
Adjunctive Techniques for Screening & Surveillance of Barrett’s Esophagus & Esophageal Dysplasia
-FloridaBlue--
Doppler-guided Transanal Hemorrhoidal Dearterialization
-Anthem--
Ductal Lavage & Suction Collection Systems
-FloridaBlue--
Intraoperative Assessment of Surgical Margins During Breast-Conserving Surgery with Radiofrequency Spectroscopy or Optical Coherence Tomography
Minimally Invasive Procedures for the Treatment of Gastroesopha-geal Reflux Disease (GERD) & Dysphagia
-FloridaBlue-
Plugs for Anal Fistula Repair
-FloridaBlue-
-Anthem--
Transanal Radiofrequency Treatment of Fecal Incontinence
-Anthem--
91110, 91111, 0355T, 45378, 45380, 43191, 43193, 43197, 43198, 43200, 43202, 43235, 43239, 43647, 43648, 43881, 43882, 64590, 43631, 43632, 43633, 43634, 43644, 43645, 43770, 43771, 43772, 43773, 43774, 43775, 43842, 43843, 43845, 43846, 43847, 43848, 43886, 43887, 43888, 0312T, 0313T, 0314T, 0315T, 0316T, 0317T,
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