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  1. Kathy Posted 1 month(s) agoRelated Topics

    One of my surgeons is interested in performing these procedures. 1) Is there any information out there, as to what payors are allowing/paying for these services? 2) Are they considered investigational or experimental? 3) Is there an effective way to perform & bill these services? 4) Is there specific patient history, treatment, etc. that must be met, before these will be allowed/paid? 5) I see that CMS termed C9737 on 6/30/2015 - did this convert to a CPT or Cat II or II code? 6) Is there any additional information you can provide to help us make the most informed decision? Thank you. Kath

  2. SuperCoder Posted 1 month(s) ago

    Hi,

    Codes C9737 and 0392T are deleted codes. In January 2014, CMS established HCPCS code C9737 to describe the laparoscopic implantation of a magnetic esophageal ring for the treatment of gastroesophageal reflux disease (GERD) which was replaced by code 0392T in July 2015. In 2017 CPT added 43284 to replace a category III code, 0392T (Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device [i.e., magnetic band]).

    This is considered surgical procedure to treat gastroesophageal reflux disease.

    Please also check the page no. 3 and 4  of  below link:

    https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM9205.pdf

     

    Please also check the page no 18 of below link:

    >https://www.cms.gov/medicare-coverage-database/shared/handlers/highwire.ashx?url=https://www.cms.gov/medicare-coverage-database/details/lcd-details.aspx@@@LCDId$$$33392***ContrId$$$298***ver$$$56***ContrVer$$$1***CntrctrSelected$$$298*1***Cntrctr$$$298***s$$$41***DocType$$$All***LCntrctr$$$138*1***bc$$$AggAAAQAAAAAAA$$$$$$***&session=gflplpbeidx4xljiwyfxed45&kq=1484874194

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  • Posted by 19972 Kathy, 1 month(s) ago. There are 2 posts. The latest reply is from SuperCoder.