About this policy
CMS National Coverage Determination | ncd_id=173 | manual_section=230.6 | coverage_level_code=1 | national_coverage_type=True | under_review=False | lab_ncd=False
Coverage indications
Program payment cannot be made for the aspirator or the related diagnostic services when furnished in connection with the examination of an asymptomatic patient. Payment for routine physical checkups is precluded under the statute (§1862(a)(7) of the Act).
Documentation requirements
Item/Service Description: The VABRA aspirator is a sterile, disposable, vacuum aspirator which is used to collect uterine tissue for study to detect endometrial carcinoma. The use of this device is indicated where the patient exhibits clinical symptoms or signs suggestive of endometrial disease, such as irregular or heavy vaginal bleeding. Cross Reference: Also see the NCD on the Gravlee Jet Washer (§ 230.5 ) and the Medicare Benefit Policy Manual , Chapter 16 §90. Benefit Categories: 19 - Diagnostic Services in Outpatient Hospital; 20 - Diagnostic Tests (other)
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
Backwork has no codes on record for this policy. Check the source.