LCD/NCD Portal

NCD20.23

 

FABRIC WRAPPING OF ABDOMINAL ANEURYSMS

 

 

Effective Date of this Version

• This is a longstanding national coverage determination.

• The effective date of this version has not been posted.

 

Benefit Category

• Physicians' Services

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

 

Indications and Limitations of Coverage

• Fabric wrapping of abdominal aneurysms is not a covered Medicare procedure.

• This is a treatment for abdominal aneurysms which involves wrapping aneurysms with cellophane or fascia lata.

• This procedure has not been shown to prevent eventual rupture.

• In extremely rare instances, external wall reinforcement may be indicated when the current accepted treatment (excision of the aneurysm and reconstruction with synthetic materials) is not a viable alternative, but external wall reinforcement is not fabric wrapping.

• Accordingly, fabric wrapping of abdominal aneurysms is not considered reasonable and necessary within the meaning of §1862(a) (1) of the Act.

 

 

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