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  #1  
Old 01-05-2009, 10:39 PM
kcadieux kcadieux is offline
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Default lap band adjustment in the office

Hello,

I have a doctor's office that does lap band adjustments in the office outside the global period. We have been using the s2083, but suddenly we are getting denials for billed incorrectly or another code should be used. Has anyone ran into this or are you using a different code??

Please help, we are pulling our hair out

Karen
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  #2  
Old 01-06-2009, 01:56 AM
cash2008 cash2008 is offline
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As of 01/01/2009, the new cpt is 96379.
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Old 01-06-2009, 04:19 PM
kcadieux kcadieux is offline
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Thank you!!!
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Old 01-13-2009, 07:35 AM
iluvicd9 iluvicd9 is offline
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Wink

We have been using 43999 with the explanation of Lap Band Adjustment. We have also used the S2083. It just depends on the carrier.

If I am reading 96379 correctly, this CPT code applies for intravenous and intra-arterial injections. Lap bands are adjusted thru a port.

Hope this helps.....
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  #5  
Old 01-14-2009, 02:24 PM
Saggy Saggy is offline
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Default lap band


I agree with Sandy.
I`m still using 90772 and S2083 for statistics.
thanx,
Dense M
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  #6  
Old 01-14-2009, 02:30 PM
Saggy Saggy is offline
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Default lap band

oops...I meant 96372

Denise M
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  #7  
Old 01-15-2009, 06:35 AM
Leanne Leanne is offline
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96372 doesn't sound right either...Therapeutic, prophylactic, or diagnostic injection
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Old 01-15-2009, 06:45 AM
Leanne Leanne is offline
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Have you looked at CPT 43771??...Lap revision of adjustable gastric restrictive device component only
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Old 01-15-2009, 07:16 AM
iluvicd9 iluvicd9 is offline
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CPT 43771 refers to a laproscopic procedure and is the device only.
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Old 01-15-2009, 12:29 PM
Belinda Frisch Belinda Frisch is offline
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Default ...

We use the S-code for most carriers (S2083) and 43999 for Medicare with an additional field of "lap band adjustment". I agree, I don't think therapeutic injection codes are correct either.

I think it's fair to note we have one local insurance (HMO) whose policy is to use an E/M for the adjustment. Given our provider's documentation and the limited focus of the visit, we end up coding a 99212 more often than not with an occasional 99213.

The desparity between reimbursement between an E/M and the reimbursement we're getting for the S2083 is huge, but we're stuck since there's not a more specific regular CPT.
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