CPT^® 43500, Under Incision Procedures on the Stomach

The Current Procedural Terminology (CPT^®) code 43500 as maintained by American Medical Association, is a medical procedural code under the range - Incision Procedures on the Stomach.

Additional/Related Information

Tabs

Summary

The provider performs a gastrotomy, i.e., he makes an incision through the abdomen and into the stomach, and explores the area for a foreign body. If a foreign body is found, he removes it.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 43500 ? Start a discussion here

PEG tube removal - certain CPT code

[QUOTE="csampson3379, post: 117742, member: 19635"] [B]Peg Tube Removal[/B] Per CPT Assistant--There are no CPT codes to report the non-incisional removal of PEG tubes. You would report the PEG tube... [ Read More ]

incisional herina ?

I have a que[FONT=Times New Roman][SIZE=3][COLOR=#000000]stion , I don't see the incisional hernia , I see the lengthen cpt code code 43338,and 43336 not sure on how to code this provider wants 4956... [ Read More ]

Laparoscopic gastrotomy for ERCP access

I see that you asked your question a couple of months ago, but wanted to respond in case you are continuing to encounter this scenario. I've had this exact scenario a few times. After discussion with ... [ Read More ]

Laparoscopic gastrotomy for ERCP access

Patient with a history of gastric bypass had to have a laparoscopic gastrotomy to create access for an ERCP. This was done by 2 different surgeons; Gen Surg made the gastrotomy; GI doc did the ERCP. M... [ Read More ]

Removal G-Tube as Outpatient Surgery

INDICATION: Indication for removal and for the sedation or TIVA is that attempts were made to remove this tube in the office, but they were unsuccessful even with the use of local anesthetic, anesthes... [ Read More ]

laparoscopic gastotomy for ERCP access

A patient with history of gastric bypass had to have a laproscopic gastrotomy to create an access for ERCP. This procedure was done by 2 different doctors. one is a general surgeon the other one is a ... [ Read More ]

help with removal of gastrostomy tube

Help My doctor want the RVU's for taking out the gastrostomy tube. His offic Note " The peg tube was removed by gently pulling....came out in one piece without any complications, site was dressed wt... [ Read More ]

Modifier required

[b]Modifiers required[/b] Hi both the procedures have MPR indicator 2. CPT 44227 should be reported without modifier. CPT 43500 should be appended with modifier 59 and 51.... [ Read More ]

Modifier required

Can anyone help me. I am getting below denial, "when billing surgical procedures a modifier is required to indicate the highest valued surgical code". Billed Procedures are 44227 and 43500. Thank y... [ Read More ]

Open Removal of Gastric Restrictive Device and Port Components

Our provider is billing the following codes: 43774; 49585; and 49000. I know that 49000 will bundle, but I cannot find a code for Open removal of the device and components. The closest found was 43... [ Read More ]

View All