20160930 - Save Up to 43% on CPC Training | Learn More

AAPC - August DL Sale: 50% OFF
Results 1 to 8 of 8

Thread: Lap Band Procedure

  1. #1
    Join Date
    Apr 2007
    Posts
    22

    Question Lap Band Procedure

    AAPC: CPC Promo
    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
    22

    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
    Posts
    2,338

    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
    202

    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

Similar Threads

  1. Lap band help!
    By asasands in forum General Surgery
    Replies: 2
    Last Post: 05-20-2010, 03:01 AM
  2. Lap Band Procedure
    By bethh05 in forum Outpatient Facilities
    Replies: 0
    Last Post: 11-17-2009, 08:11 AM
  3. Lap Band
    By codedog in forum Outpatient Facilities
    Replies: 2
    Last Post: 10-16-2008, 02:15 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.