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  #1  
Old 04-25-2008, 11:15 AM
sxcoder05 sxcoder05 is offline
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Question Lap Band Procedure

Patient is status post lap band, she was brought in for a laparoscopic reposition and replacement of lap band port. What code would you use for the reposition & replacement of the port?
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Old 04-25-2008, 11:36 AM
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emeskina emeskina is offline
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I would use 43771 for the repositioning and 43659 (unlisted) for the port swap.
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Old 04-25-2008, 12:01 PM
sxcoder05 sxcoder05 is offline
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Thank you, it was schedule as 43774
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Old 04-28-2008, 07:47 AM
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This may be of help, this is from the CPT asst 2006 April

These code descriptors identify different elements involved in providing the gastric band procedure. As indicated in the guidelines, a surgical laparoscopy always includes diagnostic laparoscopy. In addition, subsequent band adjustments are included as part of the post-operative period for this procedure and are not separately reportable. Parenthetical notes alert users to special circumstances and coding that may be necessary (eg, the use of modifier 52, Reduced services, appended to code 43770 for placement of individual component) as well as appropriate coding for replacement of the band and subcutaneous port.
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Old 04-28-2008, 08:52 AM
Bella Cullen Bella Cullen is offline
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It says right in CPT book, for removal and replacement of both gastric band and subcutaneous port use 43659. On pg 196 in parentheses under the code 43774.
Melissa, CPC
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Old 10-13-2008, 10:04 AM
lasheffield lasheffield is offline
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Default Post Repositioning

My doctor went in and repositioned the port only. Nothing was replaced, the port had slipped and turned upside down. Would you use 43659 for this?
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Old 10-17-2008, 07:19 AM
mjewett mjewett is offline
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Default port slipped

Take a look at code 43886 Gastric restrictive procedure open; revision of subcutaneous port component only. This is what we use if the port flips or slips.
Melissa-CPC
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Old 12-07-2010, 11:01 AM
Chronicles Billing Chronicles Billing is offline
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43771 "REVISION" OF ADJUSTABLE GASTRIC RESTRICTIVE DEVICE COMPONENT ONLY
icd9 v53.51 278.01v45.86
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Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

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