tci General Surgery Coding Alert - 2006 Issue 8

Reader Questions: Adjustments of Gastric Lap Bands

Question: How should I code for in-office adjustments of gastric lap bands? Can I report 43771?Arizona Subscriber Answer: To adjust a gastric band, the physician can inject or aspirate saline into an access port, which connects to the band, and effectively manipulate stomach size (and thus control appetite suppression, satiety and weight loss). CPT added 43771 (Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric band component only) in 2004, but this code does not describe gastric band adjustments (by saline injection or aspiration). Rather, this is a surgical procedure that involves laparoscopic manipulation of a gastric...

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