Billing and Coding: Bariatric Surgery Coverage (A53028) - R18 - Effective October 1, 2024

Date Posted: April 24, 2025

This coverage article has been revised and published for notice under contract numbers: 02101 (AK), 02201 (ID), 02301 (OR), 02401 (WA), 03101 (AZ), 03201 (MT), 03301 (ND), 03401 (SD), 03501 (UT), and 03601 (WY).

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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