Gastric Band Adjustments Update
In November, we reported that Medicare Part B Carrier Palmetto GBA was instructing coders to report an evaluation and management service (99213) for gastric restrictive device band adjustments outside of the global period. Since that time, Palmetto has updated its policy, and now asks that such adjustments be coded using 43999 Unlisted procedure, stomach.
The service is only reimbursable in the office setting, according to Palmetto, and you should write ‘adjustment of lap-band’ in the narrative field of the claim form. Imaging to locate the port is included in 43999.