LCD/NCD Portal

NCD100.10

 

INJECTION SCLEROTHERAPY FOR ESOPHAGEAL VARICEAL BLEEDING

 

 

Effective Date of this Version

10/29/1984

 

Benefit Category

• Physicians' Services.

• Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.

 

Item/Service Description

• Injection sclerotherapy is a technique involving:

o Insertion of a flexible fiberoptic endoscope into the esophagus.

 the injection of

• A sclerosing agent.

• Solution.

 Into the varicosities to control bleeding.

 

Indications and Limitations of Coverage

• This procedure is covered under Medicare.

 

 

Medicare NCD Link