About this policy
CMS National Coverage Determination | ncd_id=111 | manual_section=100.11 | coverage_level_code=3 | national_coverage_type=True | under_review=True | lab_ncd=False
Documentation requirements
Revision History: 12/2013 - Updated per TN158 09/1987 - Provided that use of gastric balloon for treatment of obesity not covered. Effective date 09/18/1987. (TN 19) Benefit Categories: 52 - Physicians' Services Transmittal: transmittal_number=158 | transmittal_issue_date=2013-12-23 | change_request_number=8484
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
Backwork has no codes on record for this policy. Check the source.