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Thread: Roux-en-y gastrojejunostomy

  1. #1
    Join Date
    Apr 2007
    Kansas City, MO

    Post Roux-en-y gastrojejunostomy

    AAPC: Back to School
    I'm looking at an op for a Roux-en-y gastrojejunostomy (no gastric resection) with insertion of j-tube.

    Op in a nut shell describes anastamosis of jejunum to stomach, and then a seperate anastamosis of jejunum to jejunum...then the insertion of j tube at yet another site.

    I am considering the following:


    Or 43633-52 with the 44150

    or going unlisted...maybe comparing to the roux-en-y bypass code 43846.

    Previously I have always gone unlisted, allows for our own description of the procedure, and reimbursement seems to be better...but I am wondering about my first option....found the suggestion while googling.

    Any thoughts?

  2. #2


    I am looking for a similar code. My physician did a 2nd stage Roux en Y; patient had the sleeve gastrectomy 6 months ago. The procedure was done laproscopically so I was thinking the 43644 with a 52 mod, or unlisted. So I think you should go with the 43846 with 52 mod. If I find anything else I will let you know.

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