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Pre-Op EGD billable for Bariatric Surgery?

  1. #1
    Location
    Winchester Local Chapter
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    7
    Default Pre-Op EGD billable for Bariatric Surgery?
    Medical Coding Books
    Anyone know if you can bill for the Pre-Op EGD for Bariatric Surgery? Is it included in the "package"?
    Thanks!!

  2. #2
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by pupsgrl View Post
    Anyone know if you can bill for the Pre-Op EGD for Bariatric Surgery? Is it included in the "package"?
    Thanks!!
    I don't believe that is included in a package. I would bill for any pre-op diagnostic testing.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  3. Default What would you code?
    Quote Originally Posted by ajs View Post
    I don't believe that is included in a package. I would bill for any pre-op diagnostic testing.

    I want to bill for the pre-op testing as well, but unsure of what to code as the DX ... ?

    For example, a patient may undergo EGD (43235) prior to Gastric Bypass, so how would we code our Primary DX? ... Patients are often over-weight prior to the bypass surgery, but I noticed the DX (E66.01) for obesity is NOT on the LCD for 43235 ... so will it just be denied? ... What is the proper/payable DX for such a pre-testing procedure?

    Any advice is appreciated

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