• Medical Policies

    Premera offers access to more than 300 medical policies online. Since we’re continually updating these pages, we encourage you to visit often. The policies are in Adobe PDF format. Individual plans use different medical policies. View individual plan medical policies and also View our HMO medical policies.

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14 results found for bariatric
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https://www.premera.com/medicalpolicies/7.01.516.pdf#search=bariatric
MEDICAL POLICY - 7.01.516 Bariatric Surgery BCBSA Ref. Policy: 7.01.47 Effective Date: ... For some people surgery may be needed. Bariatric surgery is often referred to as weight ...
https://www.premera.com/medicalpolicies/7.01.523.pdf#search=bariatric
N/A RELATED MEDICAL POLICIES: 7.01.516 Bariatric Surgery 10.01.514 Cosmetic and ... o If the weight loss was unrelated to bariatric surgery, the individual has maintained a ...
https://www.premera.com/medicalpolicies/2.01.533.pdf#search=bariatric
... Performed for preoperative endoscopic evaluation of an individual prior to bariatric surgery (If member's contract Page | 5 of 23 ∞ Condition Medical Necessity excludes bariatric ...
https://www.premera.com/medicalpolicies/7.01.593.pdf#search=bariatric
Psychiatric/Neurologic Disorders 5.01.609 Spravato (esketamine) Nasal Spray 7.01.516 Bariatric Surgery 7.01.522 Gastric Electrical Stimulation 7.01.546 Spinal Cord and Dorsal Root ...
https://www.premera.com/medicalpolicies/7.01.137.pdf#search=bariatric
... The AFS Bariatric Committee also issued a statement regarding the concurrent use of MSA at the time of primary bariatric surgery, 42 noting that this practice "violates many basic ...
https://www.premera.com/medicalpolicies/6.01.528.pdf#search=bariatric
... those undergoing certain treatments (e.g., antiretroviral therapy, bariatric surgery). . ... To assess fat and lean mass changes in obese individuals undergoing bariatric surgery (or ...
https://www.premera.com/medicalpolicies/2.04.507.pdf#search=bariatric
states (e.g., cystic fibrosis, inflammatory bowel disease, Crohn's disease, bariatric surgery, radiation enteritis, short bowel syndrome, pancreatitis, amyloidosis, celiac ...
https://www.premera.com/medicalpolicies/1.01.520.pdf#search=bariatric
... Requires traction equipment which can be attached only to a hospital bed A heavy duty, extra wide/bariatric bed is considered medically necessary when criteria are met for a ...
https://www.premera.com/medicalpolicies/7.01.554.pdf#search=bariatric
... discussion of referral to a bariatric surgeon, along with other weight-loss strategies. ... 52 American Society for Metabolic and Bariatric Surgery The American Society for ...
https://www.premera.com/medicalpolicies/1.01.525.pdf#search=bariatric
... risk groups by the expected rate of VTE in a population of individuals undergoing general, abdominal-pelvic, bariatric, vascular, and plastic surgery without thromboprophylaxis. ...
https://www.premera.com/medicalpolicies/8.01.502.pdf#search=bariatric
... Nutritional support for complications of non-covered services such as bariatric surgery may be excluded by the member contract. Table 1. Examples of Formulas Used for the Diagnoses ...
https://www.premera.com/medicalpolicies/5.01.615.pdf#search=bariatric
... syndrome, including exercise and weight loss, can improve MASH, as can weight loss after bariatric surgery; bariatric surgery also improves T2DM and the metabolic syndrome. ...
https://www.premera.com/medicalpolicies/2.01.38.pdf#search=bariatric
... American Society for Gastrointestinal Endoscopy, American Society for Metabolic and Bariatric Surgery, European Association for Endoscopic Surgery, Society for Surgery of the ...
https://www.premera.com/medicalpolicies/5.01.576.pdf#search=bariatric
... Children often hoard food, eat in secret, and fight others for food. Lifestyle modification and bariatric surgery are often ineffective in causing weight loss. Page | 82 of 108 ∞ ...
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