Surgery & Injections
Achalasia & Gastroesoph-ageal Reflux Disease (GERD) Treatments
Appendectomy
Bariatric Surgery Children & Adolescents
-Maryland-
-Humana--
Breast Ductal Lavage & Fiberoptic Ductoscopy
Cecostomy for Fecal Incontinence
Cholecystectomy
Colectomy
Colon Capsule Endoscopy
Continent Ileostomy & Urostomy
Core Needle Biopsy of the Breast
-Medicare-
-FloridaBlue-
Destruction of Internal Hemorrhoid(s) by Infrared Coagulation (IRC)
Diagnostic Esophagogastro-duodenoscopy (EGD) or Esophagoscopy (age 59 years or younger)-
Double
Balloon Enteroscopy
Barrett's Esophagus Treatment
Epigastric, Incisional, or Ventral Herniorrhaphy
Esophageal & Airway pH Monitoring
Fecal Incontinence Treatment
-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
Transendoscopic Therapy for Gastroesoph-ageal Reflux Disease, Dysphagia & Gastroparesis
Transoral Incisionless Fundoplication (TIF)
Transrectal Ultrasound (TRUS)
Upper Gastrointestinal Endoscopy (Diagnostic & Therapeutic
-Anthem--
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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