Digestive System: No More Unlisted-Procedure Codes for Laparoscopic Gastric Bypass

Why This Topic Matters

These changes affect how common gastrointestinal and bariatric procedures are reported and tracked, especially when practices previously relied on unlisted or temporary reporting methods. The article helps readers recognize the scope of the 2005 CPT changes and the specialties most likely to be affected.

Article Sections

1. Laparoscopic gastric bypass and bariatric surgery updates

   Discusses new and revised CPT reporting options related to laparoscopic and open bariatric surgery procedures in the 2005 update. The section also addresses broader documentation and billing implications for surgery practices.

2. Partial colonoscopy using 45391 and 45392

   Covers new colonoscopy-related coding for procedures proximal to the splenic flexure and describes the general clinical context for these endoscopic services. The section explains the article’s focus on distinguishing different levels of colon examination.

3. GERD endoscopy coding option

   Summarizes the addition of a dedicated endoscopic coding option for gastroesophageal reflux disease treatment in the CPT 2005 release. It also notes the relationship to a deleted temporary category code.

4. Intestinal allograft removal

   Introduces a new reporting option for removal of a previously placed intestinal allograft and places it in the context of related transplant procedure coding. The section emphasizes the administrative value of dedicated procedure codes.

5. Hemorrhoidectomy and hemorrhoidopexy

   Describes a newly reportable hemorrhoidopexy procedure and contrasts it with the broader hemorrhoid surgery category. The section highlights the importance of careful operative documentation for accurate coding.