Athletic Pubalgia Surgery - Medicare Advantage

This policy addresses surgical treatment of athletic pubalgia (core muscle injury/sports hernia), including laparoscopic (eg, TEP) and open anterior approaches, for patients with persistent exercise-related groin pain without a clinically detectable hernia who have failed conservative therapy. The document states there are no Medicare NCDs/LCDs and lists no covered indications because current evidence is insufficient to establish these procedures as standard treatment, so surgery is considered only after conservative measures fail and is subject to applicable CMS/Humana coverage rules.

"No covered indications are stated in this document."

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