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Access to Care Toolkit

Published August 2013

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ASMBS Frequently Asked Questions (FAQs) Regarding CMS Coverage for Laparoscopic Sleeve Gastrectomy

Published June 2012

The CMS Laparoscopic Sleeve Gastrectomy National Care Determination was completed on June 27, 2012. Please review the below Frequently Asked Questions, keeping in mind that the decision allows for local Medicare administrators to approve coverage. Until clarity regarding local CMS coverage is achieved, performance of a LSG in a Medicare patient has potential for no reimbursement for surgeon and hospital alike. It is prudent to seek out local regional Medicare administrators regarding their policy prior…

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