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 Colonoscopy
Diagnostic & Therapeutic Esophagogastro-duodenoscopy
Diagnostic Esophagogastro-duodenoscopy (EGD) or Esophagoscopy
Diagnostic Esophagogastro-duodenoscopy (EGD) or Esophagoscopy (age 59 years or younger)-
Doppler-guided Transanal Hemorrhoidal Dearterialization
-Anthem--
-Humana--
Double
Balloon Enteroscopy
Colonoscopy/ Sigmoidoscopy/Proctosigmoid-oscopy
Adjunctive Techniques for Screening and Surveillance of Barrett’s Esophagus and Esophageal Dysplasia
Epigastric, Incisional, or Ventral Herniorrhaphy
-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--
Ductal Lavage & Suction Collection Systems
-FloridaBlue--
Minimally Invasive Procedures for the Treatment of Gastroesopha-geal Reflux Disease (GERD) & Dysphagia
Plugs for Anal Fistula Repair
-FloridaBlue-
-FloridaBlue-
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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