Bypass to correct Hiatal Hernia
I recently read an article about gastric bypass being a suitable and acceptable procedure in place of the Nissen Fundroplication (sp) for the treatment of GERD and Hiatal hernia. I was also reading on the AMOS site as I am getting ready to start the appeals process with BC/BS. I came across a comment that BC/BS said if this surgery was for another problem OTHER than weightloss that would be a different story. Well I do remember speaking with a REP from BC/BS on the ICD Code for bypass, which she said was an "acceptable" procedure. NOW.....here is my thought. I am having my gallbladder removed, as well as the bypass correcting my hiatal hernia. WHY, if any, do I need to request this surgery based on the fact of me being morbidly obese? Why can I not request approval for this procedure to repair my hiatal hernia as well as treat GERD? Leave out the diagnosis of morbid obesity all together. Next year when I request approval for my hysterectomy, it certainly won't be because I am obese, it will be because my uterus and ovaries are going haywire, which is do in large part from being obese! Seems logical to me.....anyone else?
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