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This is a longstanding national coverage determination. The effective date of this version has not been posted.
Gastric freezing for chronic peptic ulcer disease is a non-surgical treatment which was popular about 20 years ago but now is seldom done. It has been abandoned due to a high complication rate, only temporary improvement experienced by patients, and lack of effectiveness when tested by double-blind, controlled clinical trials.
Since the procedure is now considered obsolete, it is not covered.