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  • 047 Preauthorization Request Form For Surgical Management Of Obesity

Get 047 Preauthorization Request Form For Surgical Management Of Obesity

Preauthorization Request Form for #379 Surgical Management of Obesity Policy Please use this form to assist in identifying members who meet Blue Cross Blue Shield of Massachusetts (BCBSMAs*) medical.

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The surgical treatment of obesity is named bariatric surgery. Long-term permanent weight loss is provided, many comorbid diseases are prevented, and survival is increased by decreasing the metabolic effects of obesity as a result of bariatric surgery.

Report the primary diagnosis as E66. 01 (morbid obesity).

A psychological clearance is one of the first steps in the preoperative workup of the patient. Patients should undergo evaluation for a history of mental disorder, depression, eating disorders, prior weight loss attempts, compliance with therapy, and substance misuse.

818, “Encounter for other preprocedural examination.” Most pre-op exams will be coded with Z01. 818. The ICD-10 instructions say to use the preprocedural diagnosis code first, and then the reason for the surgery and any additional findings.

ICD-10 code Z98. 84 for Bariatric surgery status is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

Z98. 84 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

Certain basic tests are done prior to bariatric surgery: a Complete Blood Count (CBC), Urinalysis, and a Chemistry Panel, which gives a readout of about 20 blood chemistry values. All patients get a chest X-ray and an electrocardiogram. Many surgeons ask for a gallbladder ultrasound to look for gallstones.

Pre-Op Gastric Sleeve Diet: 2-3 Days Before Surgery Restrict your food intake to water, broth, gelatins, and low-calorie sports drinks (no sodas). You'll need to cut out consumption entirely starting at midnight on the day of your surgery – even water.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232