Billing and Coding: Endoscopic Treatment of GERD

Endoluminal treatments for GERD using Stretta®, Bard EndoCinch™, Plicator™, and similar procedures are non-covered and will be denied as 'not proven effective.' Coverage is appropriate for Transoral Incisionless Fundoplication (TIF), e.g., EsophyX™, only when medical record documentation supports the indications in LCD L34659. The medical record must fully document medical necessity (history, physical exam, pertinent diagnostic test results) and be available to the Contractor upon request.

"Coverage is appropriate for Transoral Incisionless Fundoplication (TIF), e."

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