Alert detail

LCD L38747: Peroral Endoscopic Myotomy (POEM) — Palmetto GBA

Policy ID: LCD-L38747Specialty: GastroenterologyAdded: 9/12/2026Effective: September 12, 2024lcd
Low

What changed

Palmetto GBA finalizes POEM coverage criteria for 7 SE states (eff. 9/12/24)

Who’s affected: Gastroenterology billing teams · Effective: September 12, 2024

Affected codes

Codes43497

Primary source: View the official CMS/MAC document ↗

Get the action steps and full analysis

This change affects 6 billing codes.

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