CPT^® 43845, Under Other Procedures on the Stomach

The Current Procedural Terminology (CPT^®) code 43845 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 reduces the size of the stomach and creates a bypass of a good portion of the small intestine to limit absorption and treat morbid obesity.

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Have a question about CPT Code 43845 ? Start a discussion here

Bariatric coding HELP!!

[QUOTE="amy.brown@ttuhSc.edu, post: 513181, member: 106467"] The descriptor is causing some confusion and differences in opinion because it doesn't specifically say open or laparoscopic approach. Can... [ Read More ]

Bariatric coding HELP!!

Specifically 43845 Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy ([URL='https://www.encoderpro.com/epro/i9v3Handler.do?_k=104*50&_a=vie... [ Read More ]

Pyloric exclusion CPT

[QUOTE="Abodie07, post: 503147, member: 488965"] Check out code 43845 - Does it fit? [/QUOTE] Thank you so much. I am going to talk to my provider about it. The procedure performed was strange per h... [ Read More ]

Pyloric exclusion CPT

[QUOTE="jhigdon@augustasurgical.com, post: 503146, member: 430995"] Thank you so much!! I am still searching... [/QUOTE] Check out code 43845 - Does it fit?... [ Read More ]

CPT OPEN codes 43845 & 43860 - almost always done laparoscopically

the two codes listed above are OPEN codes, however almost always done laparoscopically by Bariatric Surgeons. Always submitted using the open code and always have gotten paid, even on an appeal. I kn... [ Read More ]

43845 43860 - both open procedures by approach is laparascopic

Please advise these CPT codes are OPEN approach, however they are almost always being done LAPARPSCOPIC. I thought I read somewhere that MCR was accepting and paying on the codes regardless of the ap... [ Read More ]

Laproscopic versus open procedure

Sorry, I should have been more specific. It is regarding one code in particular, we as coders are saying that the 43845 is for an open procedure only and to use the unlisted for the laproscopic. Bel... [ Read More ]

Lap conversion sleeve to BPD/DS

Needing to pre-d a patient that previously had a laparoscopic gastric sleeve and is now converting to a BPD/DS. I am thinking the only thing to do is 43845 with a 52 modifier - any thoughts on this? ... [ Read More ]

Biliopancreatic diversion with DS - Newbie, please assist

Just wanted to update my thread. I emailed our MAC, WPS, and this is their response: [I]"Thank you for contacting Wisconsin Physicians Service (WPS) Medicare for assistance regarding Local Coverage D... [ Read More ]

Biliopancreatic diversion with DS - Newbie, please assist

I'm looking at our WPS LCD for bariatric surgery and it lists all the covered CPTs. One item I need clarification on is for the covered procedures of both open and lap BPD/DS. Does CPT 43845 apply to... [ Read More ]

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