tci Medicare Compliance & Reimbursement - 2003 Issue 35

Coverage: COVERAGE ON THE WAY FOR LVRS

After years of non-coverage, an emphysema treatment is about to get the green light.Health care providers will soon be able to bill for lung volume reduction surgery, after years of non-coverage under Medicare. In an Aug. 20 decision memo, the Centers for Medicare & Medicaid Services says it plans to make LVRS available to certain Medicare beneficiaries with severe emphysema. Patients will have to meet criteria outlined in the results of the National Emphysema Treatment Trial, the largest study to date of bilateral LVRS as a treatment for severe emphysema. LVRS involves the surgical removal of diseased portions...

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