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MA11.051c, Treatment of Obesity and Bariatric Surgery for Treatment of Morbid Obesity

Independence Blue Cross·General Surgery, Endocrinology, Family Medicine +1 more·Medical Policy
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Days to comply

Summary

Medicare Advantage updated their policy for obesity treatment and bariatric surgery coverage and/or reimbursement positions, along with medical coding changes. This affects billing procedures for weight management and bariatric surgical services.

Action Required

Action needed
Before January 1, 2026: Billing team must review updated MA11.051c policy at https://medpolicy.ibx.com for specific changes to obesity and bariatric surgery coverage requirements and coding guidelines. Update billing procedures and encounter forms based on new coverage positions and coding requirements for Medicare Advantage patients.