Billing and Coding: Bariatric Surgery Coverage (A53026) - R18 - Effective October 1, 2024

Date Posted: April 24, 2025

This coverage article has been revised and published for notice under contract numbers: 01111 (CA), 01211 (AS, GU, HI, NMI), 01311 (NV), and 01911 (CA, HI & Territories).

Effective Date: October 1, 2024

Summary of Article Changes:

Revision Effective Date: 10/01/2024

Under ICD-10-CM Codes that Support Medical Necessity, Group 1 Paragraph, added the following codes to the second bullet:

E66.812 (Obesity, class 2), E66.813 (Obesity, class 3)

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