tci General Surgery Coding Alert - 2014 Issue 4

Reader Question: Roux-en-Y Not Limited to Obesity

Question:  How should I code a Roux-en-Y gastrojejunostomy that the surgeon performed to treat a gastric outlet obstruction? The patient is not obese.  Florida Subscriber Answer:  You should use the procedure code that most closely describes the procedure documented in the operative report. From your brief description of a Roux-en-Y gastrojejunostomy, it appears that the correct code is 43633 (Gastrectomy, partial, distal; with Roux-en-Y reconstruction), although you don’t give enough detail to assign a code with any certainty. Although 43633 describes a gastric bypass procedure that is sometimes used to treat morbid obesity, the procedure...

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