Cahaba GBA to cover EndoGastric Solutions’ TIF procedure: 4 important takeaways

Cahaba Government Benefit Administrators approved reimbursement of EndoGastric Solutions’ Transoral Incisionless Fundoplication procedure.

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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.

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