Bariatric Surgery Nj Cs
Defines medical necessity coverage criteria, eligible procedures, age-specific criteria (adults and adolescents), revisions/two-stage procedures, revisional surgery indications, unproven/not medically necessary procedures, applicable CPT/HCPCS codes, definitions, and supporting clinical evidence for bariatric surgery for New Jersey members.
04/01/2025: Added CPT code 43999 to Applicable Codes.
04/01/2026: Updated reference link to reflect the current policy title for Minimally Invasive Procedures for the Treatment of Upper Gastrointestinal Diseases (for New Jersey Only).
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