CMS has determined that open and laparoscopic Roux-en-Y gastric bypass, laparoscopic adjustable gastric banding, and open and laparoscopic biliopancreatic diversion with duodenal switch in Medicare beneficiaries who have type 2 diabetes mellitus (T2DM) and a body mass index (BMI) less than 35 is no longer considered reasonable and necessary. It has been determined that these same procedures do improve health in patients with T2DM with a BMI greater than 35 so they are still considered reasonable and necessary in those situations.
Browse Posts by Category
Choose a category below to browse and subscribe to specific content:
Recent Posts
- Getting Familiar with State Sanction Screening Obligations (Webinar Replay)
- Top 5 Reasons to Attend MediRegs User Group (MUG) 2012
- ICD-10 MS-DRG Pilot Grouper Testing
- Need a Good Fraud and Abuse Presentation?
- 2012 CPT Changes Overview
- OPPS Final Rule Review (Webinar Replay)
- MediRegs' ComplyTrack Discussed in Podcast
- Make Way For The Medicaid RACs: CMS Announces Implementation Date
- How to Avoid Penalties by Understanding and Reducing Your Hospital Readmission Rates (Webinar Replay)
- ICD-10 Coding Examples Webinar Registration & Replays
MediBlog - A Resource for the MediRegs User Group. MediBlog was designed to allow you the opportunity to communicate directly with MediRegs specialists as well as colleagues that work in your field of work.


1 week 4 days ago
39 weeks 1 day ago
40 weeks 2 days ago
50 weeks 3 days ago
1 year 6 weeks ago
1 year 11 weeks ago
1 year 48 weeks ago
2 years 8 weeks ago
2 years 21 weeks ago
2 years 31 weeks ago