Medicare AdvantageCoverageMedium impact
Bariatric Surgery - Medicare Advantage (Revised)
Humana·Bariatric Surgery, General Surgery·Medicare Advantage
Effective date
Feb 2, 2026
We identified it
Jun 24, 2026
Summary
This is a comprehensive Medicare Advantage policy for bariatric surgery that establishes coverage determinations and coding guidelines for various weight loss procedures including sleeve gastrectomy, gastric bypass, and other bariatric techniques. The policy becomes effective February 2, 2026, with jurisdiction-specific guidelines from various Medicare Administrative Contractors.
Action Required
Before February 2, 2026: Billing teams performing bariatric procedures must review and update their Medicare Advantage billing protocols to align with the new policy requirements. Update system references to reflect the new policy number HUM-1020-004 and ensure compliance with jurisdiction-specific Local Coverage Determinations (LCDs) and Local Coverage Articles (LCAs) from applicable Medicare Administrative Contractors. Review coverage limitations and coding information sections when the full policy details become available.