When excessive skin becomes a problem, documentation must prove removal is necessary, not cosmetic. By Victoria Moll, CPC, CPMA, CPRC One-third of the adult U.S. population is considered obese. With all the associated health risks, such as hypertension, heart disease, and diabetes, this condition has been a big focus for many healthcare organizations. Insurance companies ...
PREOPERATIVE DIAGNOSIS: Morbid obesity with significant comorbidities. POSTOPERATIVE DIAGNOSIS: Morbid obesity with significant comorbidities and BMI of 45.0. PROCEDURE: Laparoscopic adjustable gastric band with an AP standard band. ANESTHESIA: General via endotracheal tube. ESTIMATED BLOOD LOSS: Minimal. SPECIMEN: None. COMPLICATIONS: None. INDICATION: Patient is a very pleasant 33 year-old fema...
In Billing
Apr 1st, 2014
For more precise coding, understand underlying causes, anatomy, and new treatment options for obesity.  By Laurette Pitman, RN, CPC-H, CGIC, CCS Obesity has become a public health concern in the United States. In 2012, 26.2 percent of Americans were considered to be obese; of this population, 4 percent were considered to be morbidly obese. Body ...
Dec 28th, 2012
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 ...
In Coding
Nov 2nd, 2012
The information below is no longer current: On Nov. 19, 2012 Medicare Part B Carrier Palmetto GBA issued an updated policy instructing coders to report  43999 Unlisted procedure, stomach for gastric band adjustments that occur outside the global period of gastric restrictive procedures. Palmetto now specifies: “To submit a claim for adjustment of Gastric Restrictive ...