Treatment of Achalasia, Gastroesophageal Reflux Disease and Hiatal Hernia - Medicare Advantage

This policy covers Medicare Advantage coverage of treatments for achalasia, gastroesophageal reflux disease (GERD), and hiatal hernia, including endoscopic and surgical interventions such as peroral endoscopic myotomy (POEM), lower esophageal sphincter magnetic augmentation, endoluminal plication/suturing, and the Stretta procedure. Coverage applies to patients with achalasia or GERD-related symptoms (e.g., dysphagia, regurgitation, chest discomfort) but is determined by applicable CMS NCD/LCD/LCA and MAC-specific LCDs and jurisdictions (member-specific coverage may vary), and the provided excerpt contains no explicit frequency, age, or prior‑treatment requirements.

"Treatment of achalasia"

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