CPT^® 43840, Under Other Procedures on the Stomach

The Current Procedural Terminology (CPT^®) code 43840 as maintained by American Medical Association, is a medical procedural code under the range - Other Procedures on the Stomach.

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Summary

The provider sutures a tear in the stomach that may have occurred as a result of an ulcer eroding through the wall of the stomach or from an external wound or injury.

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MODIFIERS
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Modifier 51?

The physician performed a gastric perforation repair (CPT 43840) and a colocutaneous fistula repair (44640-- slightly higher physician payment). (this was done endoscopically, so I'll use unlisted cod... [ Read More ]

Modifier for 44640 and 43840?

Omental Flap w

Good morning, The following case was submitted w CPT codes 43840 and 49905. I don't believe the documentation is sufficient to bill a flap. Thoughts? DESCRIPTION OF PROCEDURE: The patient was taken t... [ Read More ]

duodenum stump blow out help

I would probably go with 43840 and 49905 Suture of perforated duonenal wound (43840) with an omental flap (+49905)... [ Read More ]

Graham patch repairs for perforated ulcer

Is anyone else having trouble with reimbursement for the Graham patch repair for an perforated peripyloric ulcer? I have billed CPT's 43840 & 49905, & have received several denials indicating that 49... [ Read More ]

43840 with 49020-59

49020 is included in 43840. The documentation does not support that the draining was done for anything outside of the ulcer repair so it would not be appropriate to bill the 49020-59 separately.... [ Read More ]

43840 with 49020-59

We have some debate going on in which the patient had Perforated distal gastric ulcer. 43840 with 49020-59 "signs of fibrinous exudate and likely a perforated ulcer.............. source was the perf... [ Read More ]

HELP Surgery & Wound Care Billing

I have been billing different specialties for over 15 years, but am completely new to surgery and wound care billing. I am currently helping out a general surgeon and need some assistance. Is this t... [ Read More ]

Graham patch repair of duodenal ulcer

I have always billed these procedures with codes 43840 and +49905 but recently received a denial from Cahaba stating the 43840 is not a valid primary procedure for this code. I submitted a redetermina... [ Read More ]

Lap repair gastric perforation

43840, 15777... [ Read More ]

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