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Medical Policy | Blue Cross and Blue Shield of Illinois - BCBSIL
- https://www.bcbsil.com/provider/standards/standard-requirements/medical-policy
- These Medical Policies serve as guidelines for health care benefit coverage decisions, which may vary according to the different products and benefit plans offered by BCBSIL. In addition to the active and pending Medical Policies, BCBSIL has included policies …
Medical Policy - BCBSIL
- https://provider.bcbsil.com/provider/standards/medical_policy.html
- These Medical Policies serve as guidelines for health care benefit coverage decisions, which may vary according to the different products and benefit plans offered by BCBSIL. …
Bariatric Surgery Selection Criteria - BCBSIL
- https://www.bcbsil.com/docs/individual/all-states/bariatric-program-selection-criteria.pdf
- Bariatric Surgery Released June 2017 . ... medical literature, together with national quality and safety initiatives; and a thorough analysis of meaningful quality measures. The …
Blue Cross and Blue Shield of Illinois Provider …
- https://www.bcbsil.com/pdf/standards/manual/benefit_prior_authorization.pdf
- required for the following services: outpatient/inpatient surgery for morbid obesity; outpatient/inpatient surgical correction of congenital anomalies; and outpatient/inpatient …
Medical Policy Reference List (Commercial) 2022 Benefit
- https://www.bcbsil.com/pdf/claims/medical-policy-reference-list.pdf
- 00797 Anesth Surgery For Obesity MP Criteria: Procedure/service reviewed against Medical Policy Criteria. Submit for ... Reconstructive Breast Surgery 1/15/2021 _ …
Clinical Practice Guidelines | Blue Cross and Blue Shield of
- https://www.bcbsil.com/provider/clinical/clinical-resources/cpg
- Clinical Practice Guidelines (CPGs) and Preventive Care Guidelines are adopted by BCBSIL and are the foundation for selected Condition Management Programs. These …
Documentation and Coding Series: Obesity and Morbid Obesity
- https://www.bcbsil.com/provider/education/education-reference/news/2021-news-and-updates/08-26-2021-obesity-documentation-coding
- Obesity is a chronic, progressive disease. Accurately and completely coding and documenting obesity and morbid obesity can help identify and address related …
BCBS of Illinois – Requirements For Weight …
- https://www.obesitycoverage.com/bcbs-of-illinois-requirements-for-weight-loss-surgery/
- The pre-approval requirements for bariatric surgery include: Patient is over the age of 18 at the time of the surgery. Patient should have Body Mass Index of …
BCBS of Illinois Weight Loss Surgery – How to Avoid a …
- https://www.bariatric-surgery-source.com/blue-cross-blue-shield-illinois-weight-loss-surgery.html
- Patients who qualify for bariatric surgery usually: Are at least 80 lbs (36 kg) overweight. Are between 18 and 75 years old. Have a history of failed weight loss attempts (e.g., …
Policy Number: CPCP012 - BCBSIL
- https://www.bcbsil.com/pdf/standards/hernia_repair_cpcp.pdf
- Clinical Payment and Coding Policy Committee Approval Date: June 18, 2021 Plan Effective Date: June 18, 2021 Description: This policy serves as a guideline to address coding and …
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