Lap sleeve converted to gastric bypass

meo59101

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I have a patient who has had a lap sleeve and now, because of erosive GERD, is going to undergo a lap revision to a gastric bypass. Is there a code you could suggest for this procedure? My thought is CPT 43644, but apparently most insurance companies will only pay for one bariatric procedure during a patient's lifetime, regardless of the reason for requiring the revision. I'd appreciate any suggestions, comments, direction. Thank you
 
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