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Diagnosis code...help

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BILLING/CODING INFORMATION:

CPT Coding:

43644

Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (Roux limb 150 cm or less)

43645

Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption (investigational)

43770

Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric band (gastric band and subcutaneous port components)

43771

Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric band component only

43772

Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric band component only

43773

Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric band component only

43774

Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric band and subcutaneous port components

43842

Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty

43843

Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty (investigational)

43845

Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch)

43846

Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy (may be done laparoscopically)

43847

Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption (may be done laparoscopically)

There is no specific CPT or HCPCS code to report mini gastric bypass. A laparoscopic approach is used with the mini-gastric bypass. The stomach is segmented similar to a traditional gastric bypass; the jejunum is anastomosed directly to the stomach, similar to a Billroth II procedure. The mini gastric bypass is not based on its laparoscopic approach, but rather the type of anastomosis used.

This on the Blue Cross Blue Sheild page:

http://mcgs.bcbsfl.com/index.cfm?fuseaction=main.main&doc=Surgery%20for%20Clinically%20Severe%20Obesity

43770 is what I'm told is the code. Print out from the site I gave you and give it to the doctor's office. They'll know what to do.

Those are CPT codes for the procedure. The diagnosis code for Morbid Obesity is 278.1. That has to be in your record for you to be considered medically eligible.

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