tci General Surgery Coding Alert - 2006 Issue 5

Update: CMS Delivers on Bariatric Surgery Coverage

Benefits are more generous than expected Beginning immediately, you-ll be able to offer a greater variety of bariatric surgery options for Medicare beneficiaries. CMS outlines which procedures -- and which patients -- will qualify for coverage. Get the Skinny On Feb. 21, Medicare issued a press release stating that it would now cover Roux-en-Y gastric bypass (43846-43847), laparoscopic adjustable gastric banding (43770-43774), and biliopancreatic diversion with duodenal switch (43845) for eligible Medicare patients. All other bariatric procedures will remain noncovered, at least -until other evidence is available,- according to the CMS release.-Bariatric surgery is not the first...

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