Carrier advocacy coverage letter for ovarian and internal iliac vein embolization for the treatment of pelvic venous disease (pelvic congestion syndrome)

Ovarian and Internal Iliac Vein Embolization for the treatment of Pelvic Venous Disease (Pelvic Congestion Syndrome) is an evidence-based letter written by interventional radiology physicians who are members of SIR’s Carrier Advocacy Workgroup. The letter is intended to support interventional radiologists during the authorization, appeal, and denial process when a payor denies this service. This letter was last reviewed and updated on February 13, 2026.

Policy coverage topic: Ovarian and Internal Iliac Vein Embolization for the treatment of Pelvic Venous Disease (Pelvic Congestion Syndrome)

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A patient appeal letter is available for this procedure. These patient-facing resources are designed to help individuals whose insurance coverage has been denied explain the medical necessity of the recommended treatment and formally request reconsideration from their payer.

Physicians may choose to share this letter with their patients to support the appeals process.