tci General Surgery Coding Alert - 2017 Issue 10

Reader Question: Radiological Guidance Directs Lap-Band Coding

Question: After the follow-up period and initial adjustments for a lap-band procedure, the patient returned in six months, and the surgeon refilled the gastric lap band reservoir through the port. Two days later, the patient returned complaining of nausea and vomiting. Here's the note for the procedure the surgeon reported on that day: "Under intermittent fluoroscopic guidance, a 22 gauge short needle was advanced into the port reservoir. 5 cc of clear saline fluid was aspirated out of the port. The needle was »»» removed and a sterile bandage was applied." How should we code these...

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