National Coverage Determination (NCD)



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Tracking Information

Publication Number
Manual Section Number
Manual Section Title
Version Number
Effective Date of this Version
This is a longstanding national coverage determination. The effective date of this version has not been posted.

Description Information

Benefit Category
Diagnostic Tests (other)
Physicians' Services

Please Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.

Item/Service Description

Endoscopy is a technique in which a long flexible tube-like instrument is inserted into the body orally or rectally, permitting visual inspection of the gastrointestinal tract. Although primarily a diagnostic tool, endoscopy includes certain therapeutic procedures such as removal of polyps, and endoscopic papillotomy, by which stones are removed from the bile duct.

Indications and Limitations of Coverage

Endoscopic procedures are covered when reasonable and necessary for the individual patient.

Additional Information

Other Versions
Title Version Effective Between
Endoscopy 1 01/01/1966 - N/A You are here