hi everyone. i think i originally posted this in the wrong forum, so ill post it here now. i know alot of insurance companies dont cover the sleeve. my insurance company doesnt appear to have the new 2010 code 43775 for the sleeve in their system, but they do cover the duodenal switch code 43845, which is basically the sleeve with a bypass. has anyone here gotten the sleeve done by getting approved for the ds and then only having their dr do the first part of the ds, which is only the sleeve? im curious if getting only the sleeve done this way would work to get the insurance company to pay for it or even if the dr would be willing to do only the first part of the ds? also, there is another bariatric open code 43843 that my insurance covers and that code specifically states "gastric restrictive procedure, without gastric bypass, other than vertical banded gastroplasty". has anyone been approved for a sleeve using this open code? any comments/replies would be appreciated. thanks in advance.
hi everyone. i think i originally posted this in the wrong forum, so ill post it here now. i know alot of insurance companies dont cover the sleeve. my insurance company doesnt appear to have the new 2010 code 43775 for the sleeve in their system, but they do cover the duodenal switch code 43845, which is basically the sleeve with a bypass. has anyone here gotten the sleeve done by getting approved for the ds and then only having their dr do the first part of the ds, which is only the sleeve? im curious if getting only the sleeve done this way would work to get the insurance company to pay for it or even if the dr would be willing to do only the first part of the ds? also, there is another bariatric open code 43843 that my insurance covers and that code specifically states "gastric restrictive procedure, without gastric bypass, other than vertical banded gastroplasty". has anyone been approved for a sleeve using this open code? any comments/replies would be appreciated. thanks in advance.