tci General Surgery Coding Alert - 2006 Issue 12

Reader Question ~ Restrictive Procedure Calls for 'Unlisted' Code

Question: Which is the best code to report laparoscopic gastric restrictive procedure with partial gastrectomy?New York Subscriber Answer: CPT does not contain a specific code to report the procedure you describe. In this case, therefore, your best option is to use 43659 (Unlisted laparoscopy procedure, stomach).For pricing, you should compare the procedure to a listed code that requires a similar level of work and physician resources, such as 43845 (Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy [50 to 100 cm common channel] to limit absorption [biliopancreatic diversion with duodenal switch]).There's no standard fee...

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