Treatment of Obesity

CMS National Coverage Determination | ncd_id=38 | manual_section=40.5 | coverage_level_code=2 | national_coverage_type=True | under_review=True | lab_ncd=False

Please note section 40.5 has been removed from the NCD Manual and incorporated into NCD 100.1 .

Cross Reference: See §§ 100.1 , 100.8 , and 100.11 . Revision History: 12/2013 - (Rev.158, Issued: 12-23-13, Effective: 09-24-13, Implementation: 12-17-13) 04/2006 - Revised language to include reference to covered surgical procedures. Effective date: 02/21/2006 ( TN 54 ) CR5013 Implementation date: 05/30/2006: Physician claims billed to the Carrier 10/02/2006: Hospital claims billed to the FI 10/2004 - Revised language to address coverage of particular care and services rather than definition of illness. Language change did not directly affect current Medicare coverage. Services are covered only when an integral and necessary part of a course of treatment for medical condition. Treatment unrelated to such medical condition remains non-covered. Effective and implementation dates 10/01/2004. ( TN 23 ) (CR 3502) Benefit Categories: 33 - Incident to a physician's professional Service; 52 - Physicians' Services Transmittal: transmittal_number=158 | transmittal_issue_date=2013-12-23 | change_request_number=8484