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Diagnostic Laparoscopy and Removal of Reordered Lap-Band with Repair Gastrotomy

Oscar Posted Thu 16th of April, 2015 08:53:03 AM

Please provide the CPT coding for following procedures.

1) Diagnostic Laparoscopy, following converted to open following procedures...
2) Open Removal of Reordered Lap-Band
3) Repair of Gastrotomy

SuperCoder Answered Fri 17th of April, 2015 05:09:08 AM

Diagnostic laparoscopy is not paid when converted to open procedure.
If there was removal of subcutaneous port only, use CPT code 43887
If there was removal and replacement of subcutaneous port component only use 43888.
Repair of gastotomy gets included in the major surgical procedure performed (removal of gastric port) on the day.

SuperCoder Answered Tue 21st of April, 2015 03:06:19 AM

Please use unlisted CPT code 43999 for open removal of reordered Lap-Band since there is no other appropriate CPT code for open removal. We could have used CPT code 43887 if only removal of subcutaneous port was performed.

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