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This typically includes: Morbid obesity diagnosis (E66.01) with BMI documentation above 40, or above 35 with documented comorbidities Confirmed diagnosis of obesity-related comorbidities (diabetes, hypertension, sleep apnea) Documentation of failed conservative treatment — typically a minimum of 6 months of supervised weight management Psychological evaluation and clearance in the medical record When any of these elements are missing from the ICD-10 submission, payers deny the claim on medical necessity grounds — even when the clinical documentation exists in the chart