Results 1 to 4 of 4

gastrectomy for morbid obesity

  1. #1
    Question gastrectomy for morbid obesity
    Medical Coding Books
    Hello to all,

    We have a case for a sleeve gastrectomy with no diagnostic changes performed for morbid obesity.
    Our pathologist feels a 88307- "stomach , subtotal/total resection, other than for tumor" does not closely reflect the level of work, mainly because it was normal gastric tissue.
    He feels charge should be level of work = 88305.

    What is anyones take on this topic? thank you in advance!

  2. #2
    The unit of service is the specimen. 88307 accurately describes the tissue at hand: a subtotal resection of stomach other than for tumor. It is not a biopsy, so 88305 does not apply.


    Pathology Coding Blog

  3. #3
    That seems to be the concensus, thank you for your feedback.

  4. #4
    Surgical Pathology specimens are not assigned codes according to the amount of work involved. If you interpret the definition of the specimen literally, you will be able to justify the code assigned to the specimen. It is when labs start to hedge according to criteria other than what CPT specifies that their codes and associated charges start to become a mishmash of things that cannot be substantiated by the methodology that CPT requires, along with the documentation, to describe the work performed for the specimens submitted. Some specimens require more work, some less. The specimen is the unit of service, not the evaluation and management, in Surgical Pathology setting.

    Professional bodies have qualified this rule in certain instances, and those qualifications make sense when a coder considers the scope and logic of CPT's methodology in assigning codes in the 88300-88309 range.

    Surg Path Coding Blog.

Similar Threads

  1. Lipomatosis with Morbid Obesity ICD-10
    By laurabvarga in forum Diagnosis Coding
    Replies: 2
    Last Post: 10-29-2015, 08:00 AM
  2. Wiki Morbid Obesity Unspecified
    By shellabell32 in forum ICD-10
    Replies: 3
    Last Post: 10-08-2015, 06:17 PM
  3. Morbid Obesity - The physician says the patient
    By maklock in forum Diagnosis Coding
    Replies: 13
    Last Post: 09-03-2015, 03:37 PM
  4. Morbid obesity g0447
    By lpowell67 in forum Internal Medicine
    Replies: 1
    Last Post: 01-21-2014, 05:13 AM
  5. Morbid Obesity in Orthopaedics
    By MMadrigal in forum Orthopaedics
    Replies: 3
    Last Post: 09-11-2011, 09:33 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.