NCDActive
Gastric Balloon for Treatment of Obesity - RETIRED
NCD111
Effective: April 10, 2023
Updated: December 31, 2025
Policy Summary
This policy (NCD111) for gastric balloons to treat obesity is retired and removed from the NCD Manual; its content was incorporated into NCD 100.1 (effective September 24, 2013). For current coverage criteria, limitations, documentation, and frequency rules for gastric balloon procedures, consult NCD 100.1.
Coverage Criteria Preview
Key requirements from the full policy
"Section 100."
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Covered Medical Codes