tci Part B Insider - 2004 Issue 12

Bariatric Surgery: New Codes Coming For Laparoscopic Bariatric Surgeries

Carrier loosens red tape on stomach-stapling and  bypass operationsIf your physician performs bariatric operations regularly, then new policies from at least one carrier are going to make your life easier.   Compared to older, more restrictive policies, January's local coverage decision from Part B carrier Noridian (L14980) seems fairly easy-going. Noridian will accept just one of a number of secondary diagnoses along with a primary diagnosis of morbid obesity. These include Type II diabetes, hypertension, gastroesophageal reflux, sleep apnea, urinary incontinence, venous stasis ulcer or degenerative joint disease involving the lower back, hips, knees, ankles or feet. Though...

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