National Coverage Determination (NCD)

Gastric Bypass Surgery for Obesity

100.1

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Tracking Information

Publication Number
100-3
Manual Section Number
100.1
Manual Section Title
Gastric Bypass Surgery for Obesity
Version Number
1
Effective Date of this Version
10/01/1979
Ending Effective Date of this Version
02/21/2006

Description Information

Benefit Category
Physicians' Services


Please 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.

Additional Information

Other Versions
Title Version Effective Between
Bariatric Surgery for Treatment of Co-Morbid Conditions Related to Morbid Obesity 5 09/24/2013 - N/A View
Bariatric Surgery for Treatment of Morbid Obesity 4 06/27/2012 - 09/24/2013 View
Bariatric Surgery for Treatment of Morbid Obesity 3 02/12/2009 - 06/27/2012 View
Bariatric Surgery for Treatment of Morbid Obesity 2 02/21/2006 - 02/12/2009 View
Gastric Bypass Surgery for Obesity 1 10/01/1979 - 02/21/2006 You are here