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Thread: lap band adjustment in the office

  1. #1

    Default lap band adjustment in the office

    Hello,

    I have a doctor's office that does lap band adjustments in the office outside the global period. We have been using the s2083, but suddenly we are getting denials for billed incorrectly or another code should be used. Has anyone ran into this or are you using a different code??

    Please help, we are pulling our hair out

    Karen

  2. #2
    Join Date
    Apr 2007
    Posts
    10

    Default

    As of 01/01/2009, the new cpt is 96379.

  3. #3

    Default

    Thank you!!!

  4. #4
    Join Date
    Apr 2007
    Location
    Indianapolis
    Posts
    30

    Wink

    We have been using 43999 with the explanation of Lap Band Adjustment. We have also used the S2083. It just depends on the carrier.

    If I am reading 96379 correctly, this CPT code applies for intravenous and intra-arterial injections. Lap bands are adjusted thru a port.

    Hope this helps.....

  5. #5

    Default lap band


    I agree with Sandy.
    I`m still using 90772 and S2083 for statistics.
    thanx,
    Dense M

  6. #6

    Default lap band

    oops...I meant 96372

    Denise M

  7. #7
    Join Date
    Apr 2007
    Location
    Quincy, MA
    Posts
    62

    Default

    96372 doesn't sound right either...Therapeutic, prophylactic, or diagnostic injection
    Leanne, CPC
    General/Vascular Surgery

  8. #8
    Join Date
    Apr 2007
    Location
    Quincy, MA
    Posts
    62

    Default

    Have you looked at CPT 43771??...Lap revision of adjustable gastric restrictive device component only
    Leanne, CPC
    General/Vascular Surgery

  9. #9
    Join Date
    Apr 2007
    Location
    Indianapolis
    Posts
    30

    Smile

    CPT 43771 refers to a laproscopic procedure and is the device only.

  10. #10
    Join Date
    Apr 2007
    Location
    Albany, NY
    Posts
    155

    Default ...

    We use the S-code for most carriers (S2083) and 43999 for Medicare with an additional field of "lap band adjustment". I agree, I don't think therapeutic injection codes are correct either.

    I think it's fair to note we have one local insurance (HMO) whose policy is to use an E/M for the adjustment. Given our provider's documentation and the limited focus of the visit, we end up coding a 99212 more often than not with an occasional 99213.

    The desparity between reimbursement between an E/M and the reimbursement we're getting for the S2083 is huge, but we're stuck since there's not a more specific regular CPT.

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