CMS Gravlee Jet Washer Form
This procedure is not covered
Background for this Policy
The Gravlee Jet Washer is a sterile, disposable, diagnostic device for detecting endometrial cancer.
The use of this device is indicated where the patient exhibits clinical symptoms or signs suggestive of endometrial disease, such as irregular or heavy vaginal bleeding.
Program payment cannot be made for the washer or the related diagnostic services when furnished in connection with the examination of an asymptomatic patient. Payment for routine physical checkups is precluded under the statute. (See §1862(a)(7) of the Act.)
Ask this policy anything