Don't get discouraged. If you need a psy eval, you can set up your own. You may have to do the leg work here. Let me give you some codes...make sure they use these. You are going to have to have proof of some type of comorbidity...get a copy of the pulmonologist letter.
From Tricare Handbook
I. CPT1 PROCEDURE CODES
43644, 43770 - 43774, 43842, 43846, 43848, 43886 - 43888, S2083
II. DESCRIPTION
Morbid obesity means the body weight is 100 pounds over ideal weight for height and
bone structure, according to the most current Metropolitan Life Table, and such weight is in
association with severe medical conditions known to have higher mortality rates in
association with morbid obesity; or, the body weight is 200% or more of ideal weight for
height and bone structure.
III. POLICY
A. Gastric bypass, gastric stapling or gastroplasty, to include vertical banded
gastroplasty is covered when one of the following conditions is met:
1. The patient is 100 pounds over the ideal weight for height and bone structure and
has one of these associated medical conditions: diabetes mellitus, hypertension, cholecystitis,
narcolepsy, Pickwickian syndrome (and other severe respiratory diseases), hypothalamic
disorders and severe arthritis of the weight-bearing joints.
2. The patient is 200% or more of the ideal weight for height and bone structure. An
associated medical condition is not required for this category.
3. The patient has had an intestinal bypass or other surgery for obesity and, because
of complications, requires a second surgery (a takedown).
B. In determining the ideal body weight for morbid obesity using the Metropolitan Life
Table, contractors must apply 100 pounds (or 200%) to both the lower and higher end of the
weight range. Payment will be allowed when beneficiaries meet all requirements for morbid
obesity surgery including the ideal weight within the newly determined range