MedicaidCoverageMedium impact
Embolization of the Ovarian and Iliac Veins for Pelvic Congestion Syndrome (for North Carolina Only)
UnitedHealthcare·NC · Radiology, Vascular Surgery·Medical Policy
Effective date
Sep 1, 2026
We identified it
Sep 2, 2026
Summary
UnitedHealthcare Community Plan of North Carolina has RETIRED its medical policy on embolization of the ovarian and iliac veins for pelvic congestion syndrome, effective September 1, 2026. This policy retirement removes prior coverage guidance for this procedure in North Carolina Medicaid. Billing teams must determine whether claims for this procedure will now follow standard coverage rules or be denied.
Action Required
By September 1, 2026: Billing team must investigate the coverage status of embolization procedures for pelvic congestion syndrome under UnitedHealthcare Community Plan of North Carolina Medicaid. Contact UnitedHealthcare directly to clarify whether this procedure is now non-covered, requires different authorization procedures, or falls under alternative policy guidance. Update internal billing system notes and provider communication materials to reflect the retired status. Do not submit claims for this procedure without confirming current coverage determination, as claims may be denied due to lack of explicit policy coverage.