Bariatric Surgical Management of Morbid Obesity
JH · Effective Oct 1, 2015
7 active Medicare policies list 43645, and 15 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
National · Effective Jan 1, 2026
J5 · Effective Jan 1, 2026
JL · Effective Jan 1, 2026
J9 · Effective Jan 1, 2026
15 policies from 12 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 43645 |
|---|---|---|
| Bariatric Surgery and Procedures | Jul 15, 2026 | Covered |
| Cigna Commercial Other Services Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Policy | Effective | Status of 43645 |
|---|---|---|
| Headaches: Invasive Procedures | Feb 20, 2024 | Covered |
| Infertility |
| Feb 15, 2024 |
| Covered |
| Policy | Effective | Status of 43645 |
|---|---|---|
| Bariatric Surgery | Not recorded | Covered |
| Policy | Effective | Status of 43645 |
|---|---|---|
| Bariatric Surgery and Other Treatments for Clinically Severe Obesity | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 43645 |
|---|---|---|
| Bariatric Surgery | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43645 |
|---|---|---|
| Bariatric Surgery | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43645 |
|---|---|---|
| Bariatric Surgery | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43645 |
|---|---|---|
| Bariatric Surgery | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43645 |
|---|---|---|
| Bariatric Surgery | Feb 1, 2026 | Covered |
| Policy | Effective | Status of 43645 |
|---|---|---|
| Bariatric Surgery – Surest Medical Policy | May 1, 2026 | Covered |
| Policy | Effective | Status of 43645 |
|---|---|---|
| Bariatric Surgery | May 1, 2026 | Covered |
| Policy | Effective | Status of 43645 |
|---|---|---|
| Bariatric Surgery | May 1, 2026 | Covered |