AMA CPT® Assistant - 2018 Issue 12 (December)

Surgery: Digestive System (Q&A) (December 2018)

December 2018 page 10b Surgery: Digestive System Question: What is the appropriate CPT code to report the placement of an intragastric balloon via an upper GI endoscopy (eg, for weight loss management)? Answer: No specific CPT code exists that describes this procedure; therefore, the most appropriate code to report is code 43999, Unlisted procedure, stomach. When reporting an unlisted code to describe a procedure or service, it will be necessary to submit supporting documentation (eg, procedure report) along with the claim to provide an adequate description of the nature, extent, and need for the procedure; and the time, effort...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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