BARIATRIC SURGERY

(WEIGHT LOSS SURGERY) EVALUATIONS

Congratulations! You are about to embark on a journey toward health, wellness, and vitality. We are excited to share in that journey by helping to ensure that you are as prepared as possible for the rigors of surgery, recovery, and the drastic permanent lifestyle and physical changes that follow. Your pre-surgery psychological evaluation is an important part of your surgery preparation.

 

Be sure to complete your new patient forms prior to your appointment. They can be located by clicking on the "forms" button at top or the link at the bottom of the page.

 
Why is a psychological evaluation required for bariatric surgery?

According to the American Society for Metabolic and Bariatric Surgery (2004), a pre-operative behavioral health assessment can "identify psychosocial risk factors and make recommendations to both the client and surgical group that are aimed at facilitating the best possible outcome for the patient" (p.1).  To ensure best outcome possible, you should be both medically and psychologically stable prior to surgery.

Could I be rejected for surgery based on the psychological evaluation?

According to the American Society for Metabolic and Bariatric Surgery (2004), a pre-operative behavioral health assessment can "identify psychosocial risk factors and make recommendations to both the client and surgical group that are aimed at facilitating the best possible outcome for the patient" (p.1).  To ensure best outcome possible, you should be both medically and psychologically stable prior to surgery.

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Post-Bariatric Surgery Counseling

 

We also offer post-bariatric surgery counseling. Many people find that the additional support of counseling helps them reach their goals and cope with unexpected changes associated with dramatic weight loss. 

Bariatric Surgery FAQ

Why is a psychological evaluation required for bariatric surgery?


According to the American Society for Metabolic and Bariatric Surgery (2004), a pre-operative behavioral health assessment can "identify psychosocial risk factors and make recommendations to both the client and surgical group that are aimed at facilitating the best possible outcome for the patient" (p.1). To ensure best outcome possible, you should be both medically and psychologically stable prior to surgery.




Could I be rejected for surgery based on the psychological evaluation?


It is relatively rare that a patient is rejected for surgery based on mental health reasons. Sometimes, a patient is delayed for surgery until a mental health or substance abuse problem is stabilized. Our goals are to get you ready for surgery and help increase your chances for long term success, so it is important that you are honest with your evaluating psychologist. Your psychologist will provide you with any necessary referrals, recommendations, and resources.




What happens during the pre-bariatric surgery psychological evaluation?


The appointment will last between 90 minutes and two hours on average. Your psychologist will typically spend the first half of the appointment performing what is called a clinical interview and mental status examination. Questions will be asked about personal topics such as your childhood, development, marital history, medical history, mental health history, and substance use. While you are free to decline to answer any question you find to be too intrusive or personal, please remember that the more honest you are with your psychologist, the more accurate and helpful the evaluation. After the interview, you will be asked to complete one or more psychological tests. These tests usually consist of sentences that may or may not describe you. You will either mark each item true or false, or you will rate how often a particular item applies to you.




Will my insurance cover the evaluation?


Probably, but please call your insurance company to make sure. It is important that you know your insurance benefits prior to any medical appointment or procedure. We have found that patients get better results by calling their insurance company directly to determine coverage.



Before your appointment:



Call your insurance company. The phone number can usually be found on the back of the card. Ask the following questions:

1.“Is a pre-bariatric surgery psychological evaluation covered under my plan?”

2.“The diagnosis code is E66.09 and the procedure codes are 90791 and 96101. Are these procedure codes covered for that diagnosis code under my plan?”

Some insurance plans will not cover that combination of diagnosis codes and procedure codes, so make sure yours does.

3.“Will the benefit be paid by my medical plan or my mental health plan?”

4.“Will you double check that (psychologist's name) is an in-network provider under my plan?”

Sometimes an insurance company will use another company to handle the mental health portion of your benefits, and your doctor may not be in that network.

5.“Is pre-authorization required?”

If yes, call our office right away so that we can get authorization for you before your appointment.

6.“Do I have to meet a deductible before my plan will pay for this evaluation?”

If yes, you will have to pay on the date of your appointment. When we file your claim, the insurance company will apply that amount to your deductible.

Although we encourage patients to check their benefits directly with the insurance company, we are always happy to check benefits for you.





Rates & Insurance

We may be in your network if you have:

We cannot guarantee that services will be covered. Please contact your insurance company. 

 

Click here for important information about using health insurance with us.

 

Click here for our out of pocket rates for clinical services.

FAQ

115 Kildaire Park Dr Ste 313

Cary, NC 27518​

Click for hours of operation

Convenient to Raleigh, Apex, Morrisville, Holly Springs, Fuquay-Varina, and Garner, in Wake County NC

 

Phone:  919.600.4906

Fax:      888.887.6361

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Material on this website is for information purposes only. Nothing on this website is intended to diagnose or treat any physical or mental illness and does not establish a practitioner-patient relationship. If you choose to email us, you do so at your own risk and agree to allow us to email you in return. 

© 2020 by ETHERIDGE PSYCHOLOGY, P.A.