Vanquish procedure. In the absence of an NCD or LCD, individual Medicare
Administrative Contractors (MACs) will determine if an item or service is “reasonable and necessary” on a claim-by-claim
basis pursuant to Section 1862(a)(1)(A) of the Social Security Act.³


Refer to the device User Manual for a list of contraindications, warnings, and cautions.
Training: Do not operate the Vanquish System without completing Francis Medical-provided physician training. Untrained operation of the device may lead to improper use. Improper use can result in patient injury or equipment malfunction.