Bariatric Surgery: Gastric Restrictive Procedures (May 1998)

May 1998 pages 5-8 Coding Communication Bariatric Surgery: Gastric Restrictive Procedures Bariatrics is the branch of medicine concerned with the management (prevention or control) of obesity and allied diseases. Morbid obesity, or clinically severe obesity, is defined as being 100 lbs over ideal weight, or more having a body mass index > (35-40 kg/m2). An arbitrary definition of superobesity corresponds to twice the minimum weight criterion used to define morbid obesity or being 200 lbs or over ideal weight. Medical conditions associated with obesity include diabetes, hypertension, heart disease, respiratory disorders, joint problems, and psychosocial incapacity. Weight loss is...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This CPT Assistant article explains the medical and surgical background of bariatric surgery as it relates to gastric restrictive procedures. It is relevant for coders, billing staff, and clinical documentation reviewers who need a high-level understanding of the procedure categories, historical context, and related coding references discussed in the article.

Why This Topic Matters

The article helps readers understand how bariatric surgical techniques are organized for coding purposes and why certain procedure categories are distinguished from one another. It also places the CPT guidance in clinical context so reviewers can better assess documentation and procedure selection relevance.

Article Sections

  1. May 1998 pages 5-8

    Introductory publication information for the article.

  2. Coding Communication

    General coding communication context for the article topic.

  3. Bariatric Surgery: Gastric Restrictive Procedures

    Overview of bariatric surgery concepts, obesity-related conditions, and the medical setting for restrictive gastric procedures.

  4. Surgical Treatment of Morbid Obesity

    Discussion of surgical management concepts for severe obesity and the general categories of bariatric procedures.

  5. Review of Past Surgical Efforts

    Historical discussion of earlier bariatric operations and the evolution of modern restrictive approaches.

  6. Gastric Restrictive Procedures Without Gastric Bypass

    Describes restrictive gastric procedures and the related CPT coding framework for procedures performed without bypass.

  7. On to the 1960's

    Background on later developments in stapling and pouch construction techniques used in bariatric surgery.

  8. Gastric Restrictive Procedures with Gastric Bypass

    Discusses bariatric procedures that combine restriction and bypass concepts and their related coding categories.

  9. Revision of Gastric Restrictive Procedures

    Covers revision and reversal of restrictive gastric procedures and the reporting context for the associated CPT code.

  10. Glossary of Related Terms

    Defines terminology used in the article to support understanding of bariatric surgery and related clinical concepts.

  11. References

    Lists supporting literature cited by the article.

What You Will Learn

  • How bariatric surgery is categorized in the context of gastric restriction and bypass
  • The historical development of restrictive and bypass-related bariatric procedures
  • The general scope of CPT guidance covered for restrictive gastric surgery and revision procedures
  • Key clinical terminology used in describing bariatric surgical techniques

Who Should Read This

  • Medical coders
  • Coding auditors and reviewers
  • Billing and reimbursement staff
  • Clinical documentation specialists
  • Bariatric surgery clinicians

Codes Discussed

Code Ranges Discussed


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