• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Lap Gastric resection and open Gastric Resection

Create Wiki
T

Trendale

Guest
Messages
230
Location
Katy, TX
Best answers
0
Hello,
Can someone help with coding a Lap Gastric Resection for a Proximal stomach mass and possible open gastric Resection for proximal stomach mass?

The physician states he beleives 43633 is the best code to use. ( The surgery has not yet been performed yet, it is being scheduled) He asked what I think?

I am not really sure, but I beleive, the lap gastric resection may be a unlisted 43659?, and the open gastric resection 43633? ( but for the open PX, it says DISTAL with gastroduodenostomy, I don't see one for proximal.

The best dx I found for distal and proximal mass is 537.9 ( dz of stomach unspecified), and I don't believe this dx is covered. ( according to the coding companion)

Please let me know your thoughts on both the procedures and the dx code. Thanks!:)
 
One more thing

Is there a specific price that I should submit with the unlisted code, or will the insurance company figure that out? Thanks!:)
 
You must log in or register to reply here.
Top