tci General Surgery Coding Alert - 2015 Issue 5

Reader Questions: Let Lap Band Component Lead Code Choice

Question: We have a surgical report that describes a laparoscopic procedure in which the surgeon places a lap band and access port to inflate the band at a later time. Can we report these as two separate procedures? Arkansas Subscriber Answer: No, you should not separately report the band and port placement for the gastric banding procedure you describe. Instead, you should list one unit of 43770 (Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device [e.g., gastric band and subcutaneous port components]) to describe the service.  How it works: During a gastric banding procedure...

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