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Thread: Lap Band adjustment Medicare

  1. #1
    Join Date
    Apr 2007

    Default Lap Band adjustment Medicare

    AAPC: Back to School
    Code S2083 is used for payers other than Medicare for adjustable gastric band fill.

    Does anyone know a code for this procedure that Medicare wil pay?

    Would you use a unlisted procedure?

    I appreciate any comments.
    Last edited by lgrennan; 11-11-2010 at 03:05 PM.

  2. #2
    Join Date
    Apr 2007
    Northeast Kansas AAPC


    43999 with descriptive of "adjustment of gastric restrictive device" in item 19 should get it paid. They may ask for the original date of the placement of the adjustable band. Medicare, as of 10-1-10, will now accept V53.51 as the diagnosis code for this procedure.
    Hope this helps.

  3. #3
    Join Date
    Apr 2007


    Thank you for the suggestion. I have the same question to our Medicare rep with no response. It's clear from CPT the global period of 90 days includes these adjustments. After the global period was not getting paid my Medicare.

    We'll try the unlisted code.

    I appreciate the advice.

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