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Thread: Lap Band HCPC code

  1. #1

    Default Lap Band HCPC code

    Promo: Code Books
    Does anyone know of a HCPC code for the Lap Band? We have one all inclusive price as we have only done cash patients but a coupld of patients are pursueing with their insurance companies and these companies are asking for a more specific code and I couldn't find one. Can anyone help?

    Much thanks.

  2. #2
    Join Date
    Apr 2007
    Location
    Chicopee, MA
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    108

    Default

    The procedure is 43770.. is that what you looking for?

  3. #3
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    Apr 2007
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    Stuart
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    Default

    Besides the 43770 there is a HCPC for adjustment of gastric band as well and it is S2083.

    Hope this helps
    NoRaX

  4. #4

    Default

    Thank you for the responses. I guess I should have been a little more specific. Sorry.

    I'm looking for the code for the band itself (supply). I've been using L8699 but is there a more specific code?

    Thanks,
    Terri

  5. #5
    Join Date
    Apr 2007
    Location
    Stuart
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    Default

    I would use the L8699 too. I couldn't find any other that match the gastric band, sorry!!!
    NoRaX

  6. #6

    Default LAP BAND billing

    This is a new procedure to our practice. Any helpful tips anyone would like to share as far as procedure itself or fills would be really helpful. Thanks!

  7. #7
    Join Date
    Apr 2007
    Location
    Des Moines, IA
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    45

    Smile Lap band

    Quote Originally Posted by NELENAZ View Post
    Besides the 43770 there is a HCPC for adjustment of gastric band as well and it is S2083.

    Hope this helps
    Thanks for the info Nelenaz, my facility has been doing the saline adjustments in the office but we didn't know how to charge for it.

  8. #8
    Join Date
    Apr 2007
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    Chicopee, MA
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    Default

    If the adjustments are done during the global period, they are included per CPT Guidelines. (See the guidelines above code 43770).

    If they are outside of the global period, then bill using the appropriate E&M service (that was published in CPT Assistant or CPT Changes at some point).

    Of course, if you have any payors that recognize the S-code, then you'd want to use that.... we had some luck with a couple payors getting that added to our contract.


    Erica

  9. #9

    Default L8699

    Have you gotten any answers on whether anybody else is using this for the lap band itself? Also, Is it seperately payable or should it be included in the surgery?

  10. #10

    Default

    L8699 is a prosthetic implant under the Genital Heading. Since this is a gastric procedure, that doesn't seem like the correct code.

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