Medicare coverage of gastric sleeve

actonguy
on 11/15/12 4:53 am, edited 11/22/12 3:38 am - CA
VSG on 01/24/14

Am gathering some good information about Medicare coverage of gastric sleeve here in CA. Have opened a dialog with my Medicare contractor, Palmetto. Have just today e-mailed them, and my Dr. some web based info. for them to review. i am including them here for review by the OH community. The .pdf file will need some decyphering by your insurance dept., but looks promising.

 

http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=258&NcaName=Bariatric+Surgery+for+the+Treatment+of+Morbid+Obesity&CoverageSelection=National&KeyWord=obesity&KeyWordLookUp=Title&KeyWordSearchType=And&where=index&nca_id=219&basket=nca*3a$00397N*3a$219*3a$Surgery+for+Diabetes*3a$Open*3a$New*3a$5&bc=gAAAABAAIAAA&

http://asmbs.org/2012/06/access-to-care-alert-the-cms-final-decision/

http://asmbs.org/2012/11/important-cms-updates/

http://s3.amazonaws.com/publicASMBS/top5/November2012/CMS_Sleeve_Update_November%20_2012_MAC_Territories_and_Contacts.pdf

 

Addition info. is appreciated.

 

Update 11-22-12

Additional final determination by CMS

http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8028.pdf

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