Cahaba Government Benefit Administrators approved reimbursement of EndoGastric Solutions' Transoral Incisionless Fundoplication procedure.
Here are four key takeaways:
1. The TIF procedure is used to treat underlying causes of gastroesophageal reflux disease.
2. Cahaba GBA is a Medicare Administrative Contractor, which administers benefit claims in Alabama, Georgia and Tennessee.
3. The TIF procedure is also covered by Novitas Solutions — a separate Medicare Administrative Contractor.
4. The American Medical Association created a new category I Current Procedural Terminology code with a procedure descriptor associated with the TIF procedure, which will be effective in January 2016.