Many health insurance plans cover surgery for weight loss; however, it is often a lengthy approval process. We are here to make it easier. Our office has coordinators who will assist you in all steps of getting through the insurance process.
Each insurance company has its own requirements and criteria for weight loss surgery. In addition, it is up to the employer to choose to include the benefit in their employee insurance policy. When you call to check with your insurance company, ask them if your policy includes a “bariatric benefit”. The procedure codes (CPT codes) for the weight loss surgeries are:
- Gastric Bypass 43644
- LapBand 43770
- Gastric Sleeve 43775
- LapBand adjustments S2083
A Letter of Medical Necessity is required in order to obtain approval for your surgery. Please click here to learn more about a Letter of Medical Necessity. In order for us to submit your information to your insurance company for approval we must receive your lab work and diagnostic tests, nutrition consultation, psychological evaluation, and Letter of Medical Necessity required by your insurance company. At CCS, we know you are eager to learn of the insurance approval; therefore, we follow-up with insurance company regularly after submitting the request and keep you posted with any information we learn as we go.