CommercialCoverageMedium impact
Ovarian and Internal Iliac Vein Endovascular Occlusion as a Treatment of Pelvic Congestion Syndrome
Blue Cross & Blue Shield of Mississippi·MS · Radiology, OB-GYN, Vascular Surgery·Medical Policy
We identified it
Jun 20, 2026
Summary
BCBS Mississippi policy A.4.01.18 confirms that endovascular occlusion (embolization/sclerotherapy) of ovarian and internal iliac veins for pelvic congestion syndrome remains investigational and not covered. This policy was reviewed on 09/12/2024 with no changes to the investigational status.
Action Required
Immediately: Billing team must ensure claims for ovarian and internal iliac vein endovascular occlusion (CPT 37241, 37799) are not submitted to BCBS Mississippi as these procedures remain investigational and non-covered. Verify denial expectations in billing system and inform providers that these procedures will be denied for pelvic congestion syndrome treatment.