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Endovascular Stent Grafts for Disorders of the Thoracic Aorta

Blue Cross & Blue Shield of Mississippi·MS · Cardiothoracic Surgery, Vascular Surgery, Cardiology +1 more·Medical Policy
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

This policy establishes coverage criteria for thoracic endovascular aortic repair (TEVAR) procedures for treating thoracic aortic aneurysms, dissections, and ruptures. The policy provides detailed medical criteria and indications for when TEVAR is considered medically necessary versus experimental.

Action Required

Action needed
Review policy A.7.01.86 for TEVAR procedures to understand coverage criteria for thoracic aortic conditions. Ensure documentation supports medical necessity when billing for endovascular stent graft procedures, including aneurysm size measurements, patient symptoms, and risk factors. Verify pre-authorization requirements with BCBS Mississippi for TEVAR procedures.