Question:
What Are The Specific Medicare Criteria for 'Medical Necessity'?

Where can I find the precise listing for the Medicare Criteria of Medically Necessary? I checked on www.medicare.gov but couldn't find anything about Bariatric Surgery, weight loss surgery or gastric bypass. I KNOW they have a list they go by but where can I get a hold of it?    — gobo T. (posted on May 27, 2001)


December 18, 2001
I have Medicare and because I have diabetes, hypertension and high cholesterol I was approved! I was told by my doctor that Medicare doesn't require pre-approval either. I had my consult last week and will be getting a surgery date this week.
   — [Anonymous]




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