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NCD 100.11

Gastric Balloon for Treatment of Obesity - RETIRED

activein force · 2023-04-10 – presentact-effective-date

Indications and Limitations of Coverage

100.11 – Gastric Balloon for Treatment of Obesity (RETIRED)

(Rev. 11892; Issued: 03-09-23; Effective: 04-10-23; Implementation: 04-10-23)

Please note section 100.11 has been removed from the NCD Manual and incorporated into NCD 100.1 effective September 24, 2013.

Revision History

12/2013 - Updated per TN158

09/1987 - Provided that use of gastric balloon for treatment of obesity not covered. Effective date 09/18/1987. (TN 19)

History

Version 3

Provenance

Source
cms.gov
Retrieved
2026-08-26
Edition
mcd-2026-08-26
Content hash
9a6f32ce8ef686e6e3bc1d17e82f069bb9e4860017b1a5d990e8e8191f4ee7cb
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