Gastroenterology Coding Alert

Reader Questions:

278.01 and V Codes Prove Handy for Pre-Op Bypass Coding

Published on Fri Jan 28, 2011

Question: What ICD-9 code should I use for a pre-bypass EGD?

Answer: Here's a step-by-step guide on how you should code for pre-op bypass:

Report findings from EGD, if any

Submit 278.01 (Morbid obesity), body mass index (BMI) code V85.xx, and V72.83 (Other specified preoperative examination).

FYI: Most carriers won't accept V72.83 as primary diagnosis, so reporting findings from the EGD is your next best option. If no symptoms appear, you should consult the physician to get his office notes for necessary documentation.

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