AHA Coding Clinic® for ICD-9 - 2011 Issue 4; Volume 3 New/Revised Codes

Laparoscopic Vertical (Sleeve) Gastrectomy

Effective October 1, 2011, code 43.82 has been created for laparoscopic vertical (sleeve) gastrectomy). Sleeve gastrectomy or vertical gastric sleeve surgery removes a majority of the stomach (the greater curvature) so that the remainder resembles the shape of a slim banana. The long vertical shape restricts the amount of food that can be eaten and is less likely to expand over time. Since the surgery is a restrictive procedure, the outlet valve and nerves of the stomach remain intact. Unlike the Roux-en-Y, it does not require intestinal bypass; and requires no artificial device like the gastric banding procedure...

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