Medicare Revision Policy?

VelvetKiss
on 7/17/09 12:01 pm - Broadview Heights, OH
I was wondering if anyone had a revision using Medicare?  If so does anyone know what there policy on revisions are?  I know it says they do cover them if you have an approved Surgeon and are having it at a Center of Excellence and then it says if certain criteria are met and I have not been able to find what that criteria is, does anyone know?  I am putting in for a revision from Lap Band to DS due to inadequate weight loss and having acid reflux but I am not sure that is enough.  I know that I still meet all the original criteria for WLS.  I have a BMI of 83, Type 2 Diabetes and I am starting to develop Hypertension.  Any help would be appreciated.  I am also going to post this on the revisions board.

Thank You!
(deactivated member)
on 7/24/09 1:17 am - Rockford, IL
Hi - Did you try calling Medicare. I originally called them to find the Center of Excellence near me. They were great. Havent had my surgery yet though as Im just going to the consultation next Weds. Best of Luck to you getting what you need. Judy 
VelvetKiss
on 7/24/09 5:09 am - Broadview Heights, OH
Hi Judy and Thanks.  I did call medicar and got some information.  I should have all my stuff turned in by the end of next week to find out if medicare will cover and get me a surgery date.  Best of luck to you too as well.

Lap Band surgery 07/2006
Lost 150  lbs, Gained back 50 lbs
Lap Band has caused Acid Reflux, Hiatal Hernia, Esophagus Spams and Vitamin Deficiencies.
Seeking a revision to the Duodenal Switch

 

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