General Surgery Coding Alert

Global Days Restrict Lap-Band Adjustment Pay

Follow payer guidelines for code choice.Can you collect pay when your surgeon uses the subcutaneous port to adjust a gastric band? That might be the question on your mind now that you know how to code your surgeon's work for placing/removing gastric bands (see "43770 and Beyond: 3 Tips Promise Proper 'Banding' Code Choice" in this issue).Watch Surgical Global PeriodThe answer to the opening question is, "no," you can't collect lap-band adjustment pay -- at least not if you're still in the surgical global period. That's 90 days for 43770 (Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device [e.g., gastric band and subcutaneous port components])."CPT® clearly states that band adjustment, to include injecting or aspirating fluid, is part of the typical post-operative follow-up care for adjustable gastric restrictive devices," says Linda Vargas, CPC, CEMC, coding and reimbursement specialist with Cass Regional Medical Center in Harrisonville, Mo.Distinguish 'Adjustment,' 'Revision'Don't [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

General Surgery Coding Alert

View All

Which Codify by AAPC tool is right for you?

Call 844-334-2816 to speak with a Codify by AAPC specialist now.