My paperwork is being submitted today
~Sandie~ -147!!WLS:12-12-06:Preop 268,Ht.5'4",BMI 44.9
Click on link to see my journey!!!
http://www.onetruemedia.com/my_shared?z=2bfaca5561a1d558fceb
87&utm_source=otm&utm_medium=text_url
"Do unto others as you'd have done to you"~ The Golden Rule to Live by!
You are what you EAT and WHO you hang out with! Choices=Outcome~ what's YOUR choice??
I'm not perfect but I am going to die trying!!!
Kristy (weight loss below does not include 16lbs lost during pre WLS diet)
START: 325 Day of Surgery :309 GOAL: 180
POLICY:
The following surgical procedures are scientifically valid in the treatment of morbid obesity:
* Roux en Y Gastric bypass
* Gastric stapling
* Biliopancreatic diversion with duodenal switch
* Laparoscopic or open gastric banding (e.g., Lap-Band)
* Loop gastric bypass
Laparoscopic methods to perform the above procedures are scientifically validated.
All other surgical procedures, including biliopancreatic diversion without duodenal switch, are investigative.
POLICY GUIDELINES:
The screening criteria listed below should be utilized before any surgery would be considered medically necessary:
MEDICAL POLICY MANUAL
1. The patient must have morbid obesity (BMI of >/= 40 kg/meter squared) or a BMI of 35- 40 kg/meter squared plus significant comorbidity.
2. The duration of obesity must have exceeded five years.
3. No identified treatable medical cause (i.e., endocrinologic).
4. Age >/= to 16 years of age.
3. No identified treatable medical cause (i.e., endocrinologic).