US · guidance
CMS Pub. 100-03, ch. 1, § 230.5
Gravlee Jet Washer
CIM 50-4
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.)
(See the Medicare Benefit Policy Manual, Chapter 16, “General Exclusions From Coverage,” §90).
History
(Rev. 1, 10-03-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
bc327aef5caae1fb83bc82d80ce43af7465130018a7984f7ff55446a053b2deb
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