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What is the Revenue code for 43999 for the Lap Band Adjustment

David Posted Tue 01st of May, 2012 15:35:58 PM

We are getting rejected by Medicare for the code 43999 for Lap Band Adjustment because we have no revenue code to attach to it. I looked extensivly for 2 days and can not locate it Please help us

SuperCoder Answered Wed 02nd of May, 2012 07:26:56 AM

Revenue codes only apply to providers who bill these services (like gastric band adjustment) to the fiscal intermediary or Part A MAC. Revenue codes do not apply to physicians, other professionals and suppliers who bill these services to the carrier or Part A MAC.

LCD for 43999 suggests that "Revenue code not applicable".

When the service is performed in hospital OR, you can try with rev. code 0360 (Operating Room Services - General).

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