Elective Aorta and Iliac Artery Aneurysm Repair - Medicare Advantage

This policy covers elective repair of aortic and iliac artery aneurysms (open and endovascular procedures, including EVAR/TEVAR/FEVAR) when radiographically confirmed. It applies to patients meeting specific size or growth criteria (eg, iliac ≥3.5 cm, growth ≥1 cm/yr or ≥0.5 cm/6 months, asymptomatic iliac ≥1.8 cm with concomitant AAA), those with complications from prior endografts, and those without prohibitive perioperative risk per an evidence‑based tool (eg, ACS NSQIP). Major requirements/limitations include suitable anatomy and FDA‑approved device availability, absence of infection or device‑material hypersensitivity, and documentation that all stated size, growth, risk‑factor, and shared‑decision criteria are met.

"Elective repair of aorta and iliac artery aneurysms (inferred from policy title; no explicit covered indications or diagnosis codes are present in the provided excerpt)"