Benefit Category
Physicians' Services
Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.
Item/Service Description Gastric bypass surgery, which is a variation of the gastrojejunostomy, is performed for patients with extreme obesity.
Indications and Limitations of Coverage Gastric bypass surgery for extreme obesity is covered under the program if (1) it is medically appropriate for the individual to have such surgery; and (2) the surgery is to correct an illness which caused the obesity or was aggravated by the obesity.
Cross Reference See §§40.5 and 100.8 of the NCD Manual.
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