tci General Surgery Coding Alert - 2006 Issue 2

News That Matters: Medicare Set to Expand Bariatric Surgery Coverage

Your practice can have a say during the comment period A recent memo issued by CMS could spell wider acceptance of bariatric procedures--and that may translate into better coverage for Medicare beneficiaries and greater reimbursement opportunities for your general surgery practice. On Nov. 23, 2005, CMS announced a proposal to offer national coverage for Medicare beneficiaries under age 65 for open and laparoscopic Roux-en-Y gastric bypass (43846-43888), and laparoscopic adjustable gastric banding (43770-43774). CMS will not cover other gastric procedures, including open and laparoscopic vertical banded gastroplasty and open adjustable gastric banding.-This proposed limited coverage for bariatric surgery...

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