LCD/NCD Portal

NCD50.7

 

COCHLEOSTOMY WITH NEUROVASCULAR TRANSPLANT FOR MENIERE'S DISEASE

 

 

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.

 

Item/Service Description

• Meniere's disease (or syndrome) is a common cause of paroxysmal vertigo.

• Meniere's syndrome is usually treated medically.

• When medical treatment fails, surgical treatment may be required.

 

Indications and Limitations of Coverage

• While there are two recognized surgical procedures used in treating Meniere's disease (decompression of the endolymphatic hydrops and labyrinthectomy), there is NO scientific evidence supporting the safety and effectiveness of cochleostomy with neurovascular transplant in treatment of Meniere's syndrome.

• Accordingly, Medicare does NOT cover cochleostomy with neurovascular transplant for treatment of Meniere's disease.

 

 

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