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Response to Comments: Select Minimally Invasive GERD Procedures
A55749
National Government Services, Inc. (J06)
Effective: December 1, 2017
Updated: December 31, 2025
Policy Summary
This response indicates that limited Medicare coverage for Transoral Incisionless Fundoplication (TIF) for GERD has been added based on a reconsideration request and supporting evidence. The specific coverage criteria, limitations, and required documentation are not contained in this response document and must be obtained from the final LCD 'Coverage and Limitations' and the policy 'Summary of Evidence' (effective December 1, 2017).
Coverage Criteria Preview
Key requirements from the full policy
"Limited coverage has been added for Transoral Incisionless Fundoplication (TIF) as a minimally invasive procedure for treatment of gastroesophageal reflux disease (GERD); patient selection criteria..."
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