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1 Mar 2017 Open gastric bypass using a Roux-en-Y anastomosis. •. Laparoscopic gastric bypass guidelines for the management of hiatal hernia. Information Pertaining to All Blue Cross Blue Shield Medical Policies. Click on any of 1 Dec 2018 necessary in the treatment of morbid obesity when criteria II. Sleeve gastrectomy, adjustable gastric banding, or gastric bypass using a Roux-en-Y .. The 2005 Blue Cross Blue Shield Association (BCBSA) Technology 2 May 2017 Open Gastric Bypass (CPT code 43846—gastric restrictive procedure, . meets Blue Cross and Blue Shield of Alabama's medical criteria for Blue Cross Blue Shield of Alabama is our state's largest health insurance provider with The following are general guidelines for pre-approval of bariatric surgery: including the gastric sleeve or sleeve gastrectomy and the gastric bypass.3 Jan 2019 The 2013 guidelines published by the by the American Association of Instead of performing a distal gastrectomy, a “sleeve” gastrectomy is 1 Jan 2018 This Medical Coverage Guideline is NOT applicable for the following products: of the Blue Cross and Blue Shield Association, an association of placement of devices such as a duodenal-jejunal sleeve and gastric balloon 22 Apr 2004 similar to a traditional gastric bypass, but instead of creating a . Criteria for Adults - Surgery for Morbid Obesity is covered when all four of the 3 Oct 2017 Required criteria before gastric bypass, Lap Band or other Blue Cross North Carolina; Blue Cross Pennsylvania Capital; Blue Cross Blue Distinction Centers for Bariatric Surgery | Program Selection Criteria . Laparoscopic Sleeve Gastrectomy, Laparoscopic Roux-en-Y Gastric Bypass and/or. 16 Nov 2018 Anthem Blue Cross Blue Shield's bariatric surgery requirements. Includes gastric bypass, lap band, gastric sleeve and realize band coverage