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Thread: Lap Band Surgery and 90 day post-op period?

  1. #1
    Join Date
    Apr 2007
    Denver, CO

    Default Lap Band Surgery and 90 day post-op period?

    AAPC: Back to School
    Regarding lap band surgery, when a patient is in the 90 day post-op period, do you bill for lap band fill or adjustments? (s2083)

    Thank you.

  2. #2

    Default Inclusive to the global surgical package

    Quote Originally Posted by smesker@hotmail.com View Post
    Regarding lap band surgery, when a patient is in the 90 day post-op period, do you bill for lap band fill or adjustments? (s2083)

    Thank you.

    HCPCS S2083 (non medicare) is inclusive when performed within 90 days & NOT separately reimbursed.

    Please refer the Medicare NCD bariatric surgery guidelines.
    Last edited by msrd_081002; 02-23-2011 at 06:11 AM.

  3. #3
    Join Date
    Apr 2007
    Fort Worth Texas


    This is also in the CPT section notes.

    Laparoscopic Bariatric Surgery Procedures 43770-43775
    Surgical laparoscopy always includes diagnostic laparoscopy. To report a diagnostic laparoscopy (separate procedure), use 49320.
    Typical postoperative follow-up care (see Surgery Guidelines, CPT Surgical Package Definition) after gastric restriction using the adjustable gastric restrictive device includes subsequent restrictive device adjustment(s) through the postoperative period for the typical patient. Adjustment consists of changing the gastric restrictive device component diameter by injection or aspiration of fluid through the subcutaneous port component.

    We do bill the appropriate radiology codes for the fluoro and barium, if used.

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