New transmittal outlines bariatric surgery billing requirements

May 14, 2007

On April 28, 2006, CMS issued change request CR 5013 to provide coverage for certain bariatric surgeries. The change request was necessary because the national coverage determination (NCD) was not uniformly implemented. Many claims that did not involve bariatric surgery were denied while other covered bariatric procedure claims were held. The new CR was meant to clarify claims processing instructions. Now, CMS issued CR 5477 to further explain these instructions.

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