Medicare and Gastric Bypass

myvioleteyes
on 3/24/10 11:53 am
Has anyone found the medicare requirements for gastric bypass on the medicare website (medicare.gov)? My dr's office is telling me outdated information (there were changes to the policy in january) and I can't get them to get their heads out of their butts. Much frustration today with this!
GigiNorth
on 3/25/10 1:14 pm
Assuming you are talking traditional medicare.

A better site for medicare is www.cms.gov - It is designed for carriers and non-consumers so it isn't as 'user friendly', but it has a lot more information.

The medicare website is not showing any changes effective the first of the year in the NCD for bariatric surgery - usually they are posted soon after the effective date.

http://www.cms.hhs.gov/mcd/viewncd.asp?ncd_id=100.1&ncd_vers ion=3&basket=ncd%3A100%2E1%3A3%3ABariatric+Surgery+for+Treat ment+of+Morbid+Obesity


 They have added addtional facilties to the covered provider list in 2010 see the list @ http://www.cms.hhs.gov/MedicareApprovedFacilitie/BSF/list.as p#TopOfPage



Gigi North
myvioleteyes
on 3/25/10 1:19 pm
I found it, this is for only certain states (texas included) but for the other states it is easily found on trailblazerhealth.com

http://www.trailblazerhealth.com/Tools/LCDs.aspx?ID=2854&DomainID=1