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Thread: Lap Band Procedure

  1. #1
    Join Date
    Apr 2007
    Posts
    22

    Question Lap Band Procedure

    Patient is status post lap band, she was brought in for a laparoscopic reposition and replacement of lap band port. What code would you use for the reposition & replacement of the port?

  2. #2
    Join Date
    Apr 2007
    Location
    Kansas City MO
    Posts
    21

    Default

    I would use 43771 for the repositioning and 43659 (unlisted) for the port swap.

  3. #3
    Join Date
    Apr 2007
    Posts
    22

    Default

    Thank you, it was schedule as 43774

  4. #4
    Join Date
    Apr 2007
    Location
    ENGLEWOOD/DENVER
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    2,339

    Default

    This may be of help, this is from the CPT asst 2006 April

    These code descriptors identify different elements involved in providing the gastric band procedure. As indicated in the guidelines, a surgical laparoscopy always includes diagnostic laparoscopy. In addition, subsequent band adjustments are included as part of the post-operative period for this procedure and are not separately reportable. Parenthetical notes alert users to special circumstances and coding that may be necessary (eg, the use of modifier 52, Reduced services, appended to code 43770 for placement of individual component) as well as appropriate coding for replacement of the band and subcutaneous port.

  5. #5

    Default

    It says right in CPT book, for removal and replacement of both gastric band and subcutaneous port use 43659. On pg 196 in parentheses under the code 43774.
    Melissa, CPC

  6. #6

    Default Post Repositioning

    My doctor went in and repositioned the port only. Nothing was replaced, the port had slipped and turned upside down. Would you use 43659 for this?

  7. #7
    Join Date
    Apr 2007
    Location
    Johnson City
    Posts
    201

    Default port slipped

    Take a look at code 43886 Gastric restrictive procedure open; revision of subcutaneous port component only. This is what we use if the port flips or slips.
    Melissa-CPC

  8. #8
    Join Date
    Apr 2007
    Location
    Locust Grove, GA
    Posts
    11

    Default

    43771 "REVISION" OF ADJUSTABLE GASTRIC RESTRICTIVE DEVICE COMPONENT ONLY
    icd9 v53.51 278.01v45.86

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