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Bariatric Surgery - Medicare Advantage (Revised)
Effective date
Feb 2, 2026
Identified
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.
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What to do
Action · 3 steps
01Before February 2, 2026: Billing teams performing bariatric procedures must review and update their Medicare Advantage billing protocols to align with the new policy requirements.
02Update 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.
03Review coverage limitations and coding information sections when the full policy details become available.
Original notice
Bariatric Surgery - Medicare Advantage (Revised)
mcp.humana.com · Always check the source before changing claims.