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 know this sounds strange but once upon of time I read an article that MCR (or other big commercial ins co.) were accepting the open codes BECAUSE they did not want all the unlisted procedure codes submitted. and they knew the approach was laparoscopic. Has anyone else heard of this? Or if your General surgeons or Bariatric Surgeons are using the 43845 & 43860 are you submitting with a UNLISTED PROCEDURE CODE? if lap. approach was used?