National Coverage Determination (NCD)

Treatment of Obesity


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Tracking Information

Publication Number
Manual Section Number
Manual Section Title
Treatment of Obesity
Version Number
Effective Date of this Version
Implementation Date

Description Information

Benefit Category
Incident to a physician's professional Service
Physicians' Services

Please Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.

Indications and Limitations of Coverage

Please note section 40.5 has been removed from the NCD Manual and incorporated into NCD 100.1.

Cross Reference
See §§100.1, 100.8, and 100.11.

Transmittal Information

Transmittal Number
Revision History

12/2013 - (Rev.158, Issued: 12-23-13, Effective: 09-24-13, Implementation: 12-17-13)

04/2006 - Revised language to include reference to covered surgical procedures. Effective date: 02/21/2006 (TN 54) CR5013

Implementation date:

  • 05/30/2006: Physician claims billed to the Carrier
  • 10/02/2006: Hospital claims billed to the FI

10/2004 - Revised language to address coverage of particular care and services rather than definition of illness. Language change did not directly affect current Medicare coverage. Services are covered only when an integral and necessary part of a course of treatment for medical condition. Treatment unrelated to such medical condition remains non-covered. Effective and implementation dates 10/01/2004. (TN 23) (CR 3502)

National Coverage Analyses (NCAs)

This NCD has been or is currently being reviewed under the National Coverage Determination process. The following are existing associations with NCAs, from the National Coverage Analyses database.

Additional Information

Other Versions
Title Version Effective Between
Treatment of Obesity 4 09/24/2013 - N/A You are here
Treatment of Obesity 3 02/21/2006 - 09/24/2013 View
Treatment of Obesity 2 10/01/2004 - 02/21/2006 View
Treatment of Obesity 1 01/01/1966 - 10/01/2004 View