Billing and Coding: Peroral Endoscopic Myotomy (POEM)

This billing and coding guideline provides supplemental information for Peroral Endoscopic Myotomy (POEM) and defers to Local Coverage Determination L38747 for clinical indications, exclusions, documentation requirements, and frequency limits. Users should consult LCD L38747 for the specific covered diagnoses, required documentation, coding instructions, and any prior authorization rules.

"Clinical indications and coverage criteria for Peroral Endoscopic Myotomy (POEM) are those specified in Local Coverage Determination L38747 and are not independently defined in this billing/coding ..."

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