Transcatheter arterial chemoembolization (TACE) is a treatment modality for unresectable hepatic malignancies. Similar to hepatic arterial infusions, this technique exploits the selective blood supply to the neoplastic lesions provided by the hepatic artery. Chemoembolization is performed by introducing a vascular occlusion agent combined with cytotoxic drugs into the hepatic artery, which results in dual ischemic and cytotoxic insult to the tumor.
This policy is designed to address medical guidelines that are appropriate for the majority of individuals with a particular disease, illness, or condition. Each person’s unique clinical circumstances may warrant individual consideration, based on review of applicable medical records.
Coverage is subject to the specific terms of the member's benefit plan.
Transcatheter arterial chemoembolization (TACE) may be considered medically necessary for ANY of the following indications:
Transcatheter arterial chemoembolization is considered experimental/investigational when the above criteria are not met, including but not limited to, palliative treatment of either primary or secondary malignant disease of the liver that is not associated with a specific liver-related symptom. There is a lack of evidence based literature to confirm the efficacy and safety for any other indication.