SURG.00141 Doppler-Guided Transanal Hemorrhoidal Dearterialization

This policy addresses Doppler-guided transanal hemorrhoidal dearterialization (THD/DG-HAL), including procedures with mucopexy, for treatment of internal hemorrhoids. Anthem deems this procedure investigational and not medically necessary; therefore, it is not covered. No indications or hemorrhoid grades are considered medically necessary under this policy, regardless of prior conservative treatment or FDA clearance (e.g., CPT 46948).

"Doppler-guided transanal hemorrhoidal dearterialization is consideredinvestigational and not medically necessary."

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