Jump to content
×
Are you looking for the BariatricPal Store? Go now!
$99 Yearly Supply Alert! 🌈 "1 per Day!" Bariatric Multivitamins

Revision Surgery Requirements

mrobles1027

Recommended Posts

mrobles1027    7

mrobles1027
Posted (edited)

Hi All,

Im new to this forum and site. Im trying to get information on what others went through when they had a revision surgery from Lap-Band to Sleeve. I have an appointment with a doctor this Friday and have called another doctor to schedule a consultation. My main question is whether they made you go through all the requirements again and how long did the process take before you had a surgery date scheduled. In cases where you were denied were you given the reason as to why you were denied.

Appreciate the help with this. Thank you.

Edited by mrobles1027

Share this post

Link to post
Share on other sites

WLSResources/ClothingExch    3,443

WLSResources/ClothingExch
Posted (edited)

Unless you're paying your own way, you'll do better to focus on your insurance plan.

Will you say where in NY you're located? And why you're seeking revision? I may need to revise, but have been putting off seeing my surgeon. I had the band done at Columbia UMC.

Edited by WLSResources/ClothingExch

Share this post

Link to post
Share on other sites

lolarose13    147

lolarose13
Posted (edited)

I'm going through the process of having a revision surgery. I lost 20 pounds with the lapband but I had complications. My surgeon told me that he can not perform the revision if my BMI was lower than 35. Long story short, I had to gained all my weight back and start from 0 in order to qualify for a revision surgery. I'm at 35.5 BMI right now and I have several health problems. My insurance and surgeon require documented lap-band complications and compliance with follow-up Lapband appointments (for the Lapband removal part), at least 35 BMI and 1 comorbidity, 6 months diet, pschy evaluation, documented active methods of weight loss (gym memberships, etc), 1 surgeon visit and 1 NUT visit. I'm submitting to insurance this week.

I'm going to a center of excellence so their requirements are super strict. Every surgeon is different and I hope you can find one that help you through this process, good luck!

Sent from my iPhone using the BariatricPal App

Edited by lolarose13

Share this post

Link to post
Share on other sites

mrobles1027    7

mrobles1027
Posted

Unless you're paying your own way, you'll do better to focus on your insurance plan.

Will you say where in NY you're located? And why you're seeking revision? I may need to revise, but have been putting off seeing my surgeon. I had the band done at Columbia UMC.

I am going through my insurance and they referred me to an Institute of Excellence. My location was incorrect. Im actually in CA.

I want to get revision because I had complications with the lap band 3 years ago to a point where I couldnt even drink Water. So I had them release everything from the band and I still have restrictions some time. SInce then I have gained 40 lbs. When I had the lap band I was at 250 and went down to 180 and now Im at 222. Its just not working for me anymore.

Share this post

Link to post
Share on other sites

mrobles1027    7

mrobles1027
Posted

I'm going through the process of having a revision surgery. I lost 20 pounds with the lapband but I had complications. My surgeon told me that he can not perform the revision if my BMI was lower than 35. Long story short, I had to gained all my weight back and start from 0 in order to qualify for a revision surgery. I'm at 35.5 BMI right now and I have several health problems. My insurance and surgeon require documented lap-band complications and compliance with follow-up Lapband appointments (for the Lapband removal part), at least 35 BMI and 1 comorbidity, 6 months diet, pschy evaluation, documented active methods of weight loss (gym memberships, etc), 1 surgeon visit and 1 NUT visit. I'm submitting to insurance this week.

I'm going to a center of excellence so their requirements are super strict. Every surgeon is different and I hope you can find one that help you through this process, good luck!

Sent from my iPhone using the BariatricPal App

Thank you for info. Please keep me posted on your progress. Im going through an Institute of Excellence as well. They did mention that I will have to go through all the requirements again. How long ago did you start the process?

Share this post

Link to post
Share on other sites

lolarose13    147

lolarose13
Posted

I'm going through the process of having a revision surgery. I lost 20 pounds with the lapband but I had complications. My surgeon told me that he can not perform the revision if my BMI was lower than 35. Long story short, I had to gained all my weight back and start from 0 in order to qualify for a revision surgery. I'm at 35.5 BMI right now and I have several health problems. My insurance and surgeon require documented lap-band complications and compliance with follow-up Lapband appointments (for the Lapband removal part), at least 35 BMI and 1 comorbidity, 6 months diet, pschy evaluation, documented active methods of weight loss (gym memberships, etc), 1 surgeon visit and 1 NUT visit. I'm submitting to insurance this week.

I'm going to a center of excellence so their requirements are super strict. Every surgeon is different and I hope you can find one that help you through this process, good luck!

Sent from my iPhone using the BariatricPal App

Thank you for info. Please keep me posted on your progress. Im going through an Institute of Excellence as well. They did mention that I will have to go through all the requirements again. How long ago did you start the process?

Hi,

I did my 6 months of nutritional visits last year. I started to request medical records on March of this year and I had my first consultation with the surgeon April 12. After that, I took 2 mandatory classes and I have my psychological evaluation done 2 weeks ago. I received the results of the evaluation yesterday and my doctor is submitting to insurance today or Monday. Do you know your insurance requirements? Some insurances do not require the 6 months diet, so the process goes a lot faster in this case.

Sent from my iPhone using the BariatricPal App

Share this post

Link to post
Share on other sites

jaxmom    643

jaxmom
Posted

Hi there! I had a band for 6 years and it broke. Overall I did ok with it.. Went from 197 to 162 and was quite happy. Was very bummed to hear it was broken. Actually, I was horrified. My surgeon told me not to worry- he would revise to a sleeve. Two months later, I was sleeved (April 20th). I was a self pay in the Dominican Republic for my band but my insurance picked up the entire thing this time. I didn't have to go to any classes or counseling. My BMI was 34 when revised. I will say this in retrospect- going back to classes is a good thing. The band is very different from the sleeve and the rules are different. I LOVE LOVE LOVE my sleeve and feel fantastic. Tons of energy and down 15 pounds in 3 weeks. I'm thrilled. I wish you the best, let me know if you have any questions!

Sent from my iPhone using the BariatricPal App

Share this post

Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
Go To Topic Listing Revision Weight Loss Surgery Forums (NEW!)

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Aunty Mamo

      Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
      · 0 replies
      1. This update has no replies.

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    Bariatric Forums

    For Patients

    Health Professionals

    Search Surgeons

    Bariatric Surgeons: Want to research a weight loss surgery surgeon? Enter their last name below to start!

    ×