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 38x       Filetype PDF       File size 1.01 MB       Source: www.uhcprovider.com


File: Bariatric Surgery
UnitedHealthcare® Commercial Medical Policy Bariatric Surgery Policy Number: 2022T0362HH Effective Date: May 1, 2022 Instructions for Use Table of Contents Page Related Commercial Policies Coverage Rationale . 1 • Minimally Invasive ...

icon picture PDF Filetype PDF | Posted on 13 Jan 2023 | 2 years ago
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...Unitedhealthcare commercial medical policy bariatric surgery number thh effective date may instructions for use table of contents page related policies coverage rationale minimally invasive procedures gastroesophageal documentation requirements reflux disease gerd and achalasia definitions obstructive central sleep apnea treatment applicable codes robotic assisted professional description services benefit considerations community plan clinical evidence u s food drug administration references medicare advantage summary history revision information obesity non surgical see the following are proven medically necessary treating biliopancreatic diversion with duodenal switch gastric bypass includes adjustable banding using open or laparoscopic approaches individuals years age refer to fda section additional sleeve gastrectomy vertical banded gastroplasty in adults one identified above is when all criteria met class iii ii presence more co morbidities o type diabetes cardiovascular coronary ...
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