Select Minimally Invasive GERD Procedures

Transoral incisionless fundoplication (TIF) using the EsophyX device is covered for treatment of GERD when the gastroesophageal valve is reconstructed and any hiatal hernia is ≤2 cm (or has been reduced to ≤2 cm by prior laparoscopic repair). Multiple specific exclusions apply: TIF is not covered for patients with BMI >35, LA grade esophagitis >B, Barrett's >2 cm, achalasia, esophageal ulcer, lack of an appropriate PPI trial, or prior failed TIF (repeat TIF is investigational); other endoluminal procedures and LINX are non-covered and will be denied as not proven effective.

"Transoral incisionless fundoplication (TIF) using the EsophyX device for treatment of gastroesophageal reflux disease (GERD) is covered to reconstruct the gastroesophageal valve and reduce acid ref..."

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