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Gastric Band adj done in D/O

  1. Question Gastric Band adj done in D/O
    Medical Coding Books
    Medicare requires unlisted 43999, commercials carriers request documentation when this code is used.ACS suggest using E/M code w/ explination in box 19 of the 1500 form... Does anyone have any other suggestion?

  2. #2
    We use S2083 for all commercial carriers, Humana reimburses alot better for this code than any other ins co that I've seen.For MCR, we do use the 43999 and put a note in box 19 on the 1500 form. we do not have to add a note for the S2083, some times the comm co will ask for office notes but not usually.

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