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Kathy Posted Wed 27th of December, 2017 12:04:56 PM
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
SuperCoder Answered Thu 28th of December, 2017 02:57:58 AM

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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