Billing and Coding: Laparoscopic Sleeve Gastrectomy for Severe Obesity

This policy (A56852) provides billing and coding guidance for laparoscopic sleeve gastrectomy for severe obesity and is intended to complement, not replace, the clinical coverage criteria in LCD L34576. It directs providers and billers to follow the LCD and payer-specific requirements for medical necessity, documentation, coding, modifiers, and prior authorization; the policy text itself does not specify clinical thresholds, exclusions, ICD-10 lists, or frequency limits.

"Billing and coding guidance applies to laparoscopic sleeve gastrectomy (sleeve gastrectomy) performed for severe obesity and is intended to complement LCD L34576."

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