tci General Surgery Coding Alert - 2009 Issue 6

You Be the Coder: Gastric Band Adjustments

Question: How should I code for in-office adjustments of gastric lap bands? Arkansas Subscriber Answer: There is no specific code for an adjustment of the gastric band. How, and if, you report gastric lap band adjustments depends on whether the adjustment occurs within the global period of the major procedure. If the patient is still within 90 days of the original surgery, adjustments fall within the global period for post-operative management and you cannot separately report the service. In other words: There is no separate new payment for staged adjustments that fall within the surgical global period. Alternately: If...

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