Highmark bcbs bariatric surgery policy
WebHighmark Blue Shield: my Blue Access PPO Bronze 3800 Coverage for: Individual/Family Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you … WebNational Blue Cross Blue Shield Association Medical Policy 7.01.47, Surgery for Morbid Obesity, 02/2008. Overview of Bariatric Surgery, Journal of American College of Surgeons, Vol. 194, No. 3, 03/2002. Evidence-Based Medicine: Open and Laparoscopic Bariatric Surgery, Surgical Endoscopy, Vol. 16, No. 5, 05/2002
Highmark bcbs bariatric surgery policy
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WebFeb 21, 2024 · Highmark is a nationally recognized industry leader in developing and implementing up-to-date, medically sound policy guidelines. There are many policy … WebMedical Policies The policies contained in the FEP Medical Policy Manual are developed to assist in administering contractual benefits and do not constitute medical advice. They are not intended to replace or substitute for the independent medical judgment of a practitioner or other health care professional in the treatment of an individual member.
WebMedical Policies A-Z. Medical policies serve as one set of guidelines for determining what medical services, procedures, devices and drugs may be eligible for coverage. View the medical and drug authorization tables to determine when to request an authorization. InterQual® criteria is used to evaluate whether a medical procedure or equipment ... WebThe following CPT code is considered investigational for Commercial Members: Managed Care (HMO and POS), PPO and Indemnity: Procedure codes: 43847Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption 43645 Laparoscopy, surgical, gastric restrictive procedure; with gastric …
WebImportant Legal Information:: Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage, Highmark Benefits Group, Highmark Senior Health Company, First Priority Health and/or First Priority Life provide health benefits and/or health benefit administration in the 29 counties of ... WebOct 28, 2013 · NOTE: The patient must be at least 18 months postoperative following bariatric surgery. NOTE: Report procedure code 15830 (Excision, excessive skin and subcutaneous tissue [includes lipectomy]; abdomen, infraumbilical panniculectomy) when performing a panniculectomy.
WebSep 6, 2024 · BARIATRIC SURGERY COVERAGE POLICIES –BLUE CROSS BLUE SHIELD COMPANIES Plan Geography Covered Lives Effective Date Policy T M Y B P A Highmark Blue Shield PA: 21 counties in central PA, Lehigh Valley 1,100,000 8/24/2024 link X X X(13-18 for girls, 15-18 for boys) Blue Cross Blue Shield of Kansas City Kansas City, MO …
WebRevision surgery to address perioperative or late complications of a bariatric procedure is considered medically necessary. These include, but are not limited to: Staple-line failure. Obstruction. Stricture. Non-absorption resulting in hypoglycemia or malnutrition, weight loss of 20% or more below ideal body weight. sharjah immigration office timingsWebHome page ... Live Chat sharjah in arabic writingWebSep 17, 2024 · Bariatric surgery should be performed in appropriately selected individuals by surgeons who are adequately trained and experienced in the specific techniques used and … pop smoke 8 ball corner pocketWebApr 12, 2024 · Surgery for clinically severe obesity (bariatric surgery) falls into two categories: gastric restrictive procedures and malabsorptive procedures. The first category, gastric restrictive procedures, includes procedures in which a small pouch is … sharjah immigration office rahmaniyaWebBlue Distinction Centers and Blue Distinction Centers+ for Bariatric Surgery provide a full range of bariatric surgery care; including surgical care, post-operative care, outpatient … pops midtown mobile alWebJun 12, 2024 · Surgery Date: 04/01/2024. Height: 5 feet 2 inches. Starting Weight: 277 lbs. Weight Lost: 118 lbs. Current Weight: 159 lbs. Goal Weight: 140 lbs. BMI: 29. Posted April 27, 2024. My dr office didn't know that Highmark changed their policy about the six month wait, so four months in I found out about the change thanks to this forum! sharjah immigration overstay fineWebPlease fax completed form to the Medical Management and Policy Department: 888.236.6321 or 800.670.4862 (Delaware Only) Provider Information Patient/ Procedure … sharjah indian high school admission