LCD Reference Article Response To Comments Article

Response to Comments: Fluid Jet System Treatment for LUTS/BPH

A59605

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Source Article ID
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Article ID
A59605
Original ICD-9 Article ID
Not Applicable
Article Title
Response to Comments: Fluid Jet System Treatment for LUTS/BPH
Article Type
Response to Comments
Original Effective Date
04/01/2024
Revision Effective Date
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Revision Ending Date
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As an important part of Medicare Local Coverage Determination (LCD) development, National Government Services solicits comments from the provider community and from members of the public who may be affected by or interested in our LCDs. The purpose of the advice and comment process is to gain the expertise and experience of those commenting.

We would like to thank those who suggested changes to the Fluid Jet System Treatment for LUTS/BPH Local Coverage Determination. The official notice period for the final LCD begins on February 15, 2024, and the final determination will become effective on April 1, 2024.

Response To Comments

Number Comment Response
1

NGS received the following comment from a Urologist: 

I provide the Aquablation procedure for my Medicare patients. I am a board-certified urologic surgeon and practice primarily St Vincent Hospital which is located in Worcester, Massachusetts. I have performed over 30 Aquablation procedures over the last couple of years. The outcomes for my surgeries are comparable to TURP. The proposed local coverage determination (LCD) Fluid Jet System Treatment for LUTS/BPH (DL38367) that removes the age restrictions for the procedure is a very welcome change. There is no particular reason for the age range used in the early study protocols. The most rapidly growing population is the 85 and above age group. Men is this age category tend to have very large prostates and due to their health issues need a procedure that will be quick, effective and be done with low complications. The treatment options like Aquablation is that option which is precise, safe, effective and perfectly suited for older patients. I look forward to the removal of this age limitation for the procedure.”

NGS thanks the Urologist for offering his opinion and informing NGS that he had no concerns about the changes made to DL38367-Fluid Jet System Treatment for LUTS/BPH.

2

NGS received the following comment from a board-certified Urologist: 

"I support the proposed local coverage determination (LCD) Fluid Jet System Treatment for LUTS/BPH (DL38367) that removes the coverage criteria to only cover men 80 years old or less. Patients over 80 years of age typically have large prostates and would need to have an open or robotic procedure. Time under general anesthesia is far shorter than the open or robotic procedures; therefore, Aquablation is often a safer approach for these patients."

NGS agrees and appreciates your supportive comment.

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Associated Documents

Medicare BPM Ch 15.50.2 SAD Determinations
Medicare BPM Ch 15.50.2
Related Local Coverage Documents
LCDs
L38367 - Fluid Jet System Treatment for LUTS/BPH
Related National Coverage Documents
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Public Versions
Updated On Effective Dates Status
02/05/2024 04/01/2024 - N/A Currently in Effect You are here

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