NCDActive
Intestinal Bypass Surgery - RETIRED
NCD50
Effective: April 10, 2023
Updated: December 31, 2025
Policy Summary
This policy (NCD50) for Intestinal Bypass Surgery is retired and its content was removed from the NCD Manual and incorporated into NCD 100.1 effective September 24, 2013. There are no active coverage, limitation, or frequency criteria remaining in NCD50; refer to NCD 100.1 for current Medicare coverage rules for intestinal bypass surgery.
Coverage Criteria Preview
Key requirements from the full policy
"Policy retired: Section 100."
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Covered Medical Codes