Posted On : December 04, 2015 Centers for Medicare and Medicaid Services  has a new Local Coverage Determination (LCD) that was issued for Laparoscopic Sleeve Gastrectomy on October 1, 2015. It mandates that the patients having the sleeve done provide documentation for 6 month of “A thorough multidisciplinary evaluation…” prior to having the surgery.  Interesting that this is not the criteria outlined for other weight loss surgical procedures.