Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Medical Coding



Recommended Posts

Ask your Dr.s billing office.

Share this post


Link to post
Share on other sites

Hi all...just found out that medicare will pay for fills...providing they are coded right.

Share this post


Link to post
Share on other sites

Is there anyone who had Medicare for their insurance covering their surgery? I'm still trying to get my primary care doc to write me a referral. I have only been going to her for for 5 months as my previous doc quit. I tried. Once before I asked about the lapband and she was not too encouraging. Any idea's? I am encouraged by everyones helping others. I hope to join your ranks soon. Thanks to all.

Share this post


Link to post
Share on other sites

Google icd9 codes it should come up so you can search for it

Share this post


Link to post
Share on other sites

Hi Twi...I found that the ICD9 code for the placing of te lapband surgery is v45.86. The code for "adjustment and fitting of the gastric lap band" is v53.51. I take this mean that the fills are covered as long as this correct code is used. I reccomend you speak to your surgeon when you meet and verify this. That is what I found out. Hope I did not confuse you too much. I also according to my reading that they don't require a waiting period anymore.

Share this post


Link to post
Share on other sites

Is the medical code for the lap band 43770?

I think what you are looking at is called the "HCPCS" (hick-pick) code I found 2 that may cover this surgery. 43644. Or. 43771

Share this post


Link to post
Share on other sites

Is the medical code for the lap band 43770?

Yes..the code for Lapband is 43770. It is whats known as a CPT code. When checking to see if Lapband is covered by an insurance company, that is the code you can use to check and see if they cover the procedure.

Code 43644 (in the above post) is for a Roux-en-Y gastric bypass, Code 43771 is used only for a Lapband "adjustment" (adding or removing saline).

Try not to let other posts confuse you. Someone mentioned "HCPCS" codes..HCPCS codes are supply codes for example codes for crutches, wheelchairs, etc (any kind of billable equipment), HCPCS also list dental codes as well.

Also someone mentioned ICD-9 codes. ICD-9 codes are "diagnosis" codes. Such as if you go to the doctor complaining of a sore throat, they would code the reason for your visit "sore throat" (462 Acute, 472.1 chronic), if that makes sense.

So if I was reading this post right, you were wanting to know what the code was for LapBand to see if its covered by insurance... which you were correct using 43770.

Remember:

CPT = Procedure codes

ICD-9 = Diagnosis codes

HCPCS = Supply codes

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • rlcpd

      Two months out from hiatal hernia repair.  Surgeon said to expect a lot more flatulence...something about the 'air' no longer being able to 'burp' out so comes out the other end.  That is my experience but have no understanding of why that swallowed air cannot be 'burped'. ???
      · 1 reply
      1. BlondePatriotInCDA

        As I understand it since your stomach is smaller and not completely resting against your diaphragm anymore you no longer have the ability to "push" burps out as well. Plus, since its smaller and we don't digest slower the trapped air moves a lot quicker out of the stomach so its no longer available to burp out. Hence the other option for removal.

    • Lizette1122

      Anyone had the TORe procedure? How did it go? How much weight did you loose? 
      · 0 replies
      1. This update has no replies.
    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 3 replies
      1. Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

      3. buildabetteranna

        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

    • buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×