Lung Volume Reduction Surgery (LVRS)

TRICARE covers LVRS for patients with severe upper lobe predominant emphysema or severe non-upper lobe emphysema with low exercise capacity. Patients must meet the following selection criteria:

  1. History and physical exam consistent with emphysema
  2. Patient has not smoked for 4 or more months
  3. For patients with cardiac ejection fraction less then 45%, there is no history of congestive heart failure or myocardial infarction within six months of consideration for surgery;
  4. The patient completes a pre-operative workup

Contact your regional contractor for specific limitation and exclusion criteria.

Disclaimer:

This list of covered services isn’t all inclusive. TRICARE covers services that are medically necessaryTo be medically necessary means it is appropriate, reasonable, and adequate for your condition. and considered proven. There are special rules or limits on certain services, and some services are excluded.

Last Updated 3/20/2022