AAPC - Back to school
Results 1 to 2 of 2

Thread: laparoscopic revison bariatric surgery

  1. #1
    Join Date
    Apr 2007
    Winchester, VA #54042

    Smile laparoscopic revison bariatric surgery

    AAPC: Back to School
    I'm not sure if this should be coded as a revision. Pt has 2 yr hx of gastric sleeve with recurrent hiatal hernia, which is causing her problems. Now my doc will do a laparoscopic roux en y bypass, and repair of hiatal hernia. Is this considered a revision? The sleeve itself is not being revised, so I don't know if I can use the 43644, along with the hiatal hernia repair, or if it is still considered a revision of the bariatric surgery.
    Thanks for any input- I'm new at bariatrics!

  2. #2


    Personally, I think it's a 43644, possibly with a -22 modifier if the previous surgery makes it significantly more complicated than the norm, & if your doc documents that, plus the hernia repair. We go around about that a lot here, too. I agree with you that it isn't a revision if they aren't actually revising the prior procedure.

Similar Threads

  1. Bariatric Surgery
    By lpotter73 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 04-07-2015, 09:47 AM
  2. Bariatric surgery
    By cynthiabrown in forum General Surgery
    Replies: 0
    Last Post: 02-04-2013, 01:23 PM
  3. Bariatric Surgery
    By suemt in forum General Surgery
    Replies: 1
    Last Post: 08-04-2011, 05:41 AM
  4. Bariatric Surgery
    By RODRIGUEZL in forum General Surgery
    Replies: 0
    Last Post: 05-01-2008, 11:17 AM
  5. Bariatric Surgery
    By debcpc in forum General Surgery
    Replies: 0
    Last Post: 01-15-2008, 09:34 AM

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?


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.