decisionhealth Newsletters, Coder Pink Sheets - 2012 Issue 11 (November)
New LCD for laparoscopic sleeve gastrectomy may be coming your way
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Article Overview
This article is for coders, billers, and compliance staff tracking Medicare bariatric surgery policy. It explains the broader coverage direction for laparoscopic sleeve gastrectomy, notes that several Medicare administrative contractors are reviewing draft local coverage policies, and highlights the general documentation and diagnosis categories being considered in that process.
Why This Topic Matters
Medicare coverage and payment-status changes can affect whether claims for bariatric surgery are payable and how providers document medical necessity. Readers who work with bariatric cases need to know where coverage policies are changing and which contractors are involved.
What You Will Learn
- How Medicare and its contractors are approaching coverage review for laparoscopic sleeve gastrectomy
- What general patient-selection factors are being discussed in the coverage process
- Which Medicare contractors are mentioned as issuing or reviewing draft local coverage policies
- How a payment-status change can signal further pricing and coverage evaluation
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Compliance staff
- Bariatric surgery practices
- Hospital outpatient departments
Codes Discussed
Code Ranges Discussed
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