CPT^® 43653, Under Laparoscopic Procedures on the Stomach

The Current Procedural Terminology (CPT^®) code 43653 as maintained by American Medical Association, is a medical procedural code under the range - Laparoscopic Procedures on the Stomach.

Additional/Related Information

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Summary

The provider places a gastric tube for direct access to the stomach cavity for patients who need to be fed or have their upper gastrointestinal tract emptied directly through the stomach.

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Forum

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Laparoscopic PEG tube placement

Can I get your advice on CPT's for this please. I'm thinking 43653 but there was more of an explore ?? The patient was brought to the operating room, and placed in the supine position. General endotr... [ Read More ]

Laparocopic reduction of hiatal hernia without dissection

Looking for advice re: the case below. I am not certain if 43281 is supported as a full dissection of the sac did not occur. would only 43653 be warranted with perhaps modifier 22 for the work that wa... [ Read More ]

Laparocopic reduction of hiatal hernia without dissection

Granulation tissue cautherzation during global period

If a patient has a G-tube placement(43653) and later comes into the office for a nurse check. During that visit the nurse noticed that granulation tissue has developed around the G-tube, so the office... [ Read More ]

47562 w/ lap gastrostomy for ERCP

43653 is bundled w/47562. Would it be appropriate to use an unlisted code, 43659 when there's the 43653 (I know guidelines indicate no) however if there is something I'm missing in the op report, I w... [ Read More ]

Ex lap, lysis of adhensions, gastrostomy for transgastric ERCP w/ gastrostomy closure

[b]https://www.aapc.com/memberarea/forums/137996-ex-lap-lysis-adhensions-gastrostomy-tra[/b] Hi CodingKing. So that's a yes on the 43653-52-22? Not the unlisted, right? Can you modify an unlisted ... [ Read More ]

Ex lap, lysis of adhensions, gastrostomy for transgastric ERCP w/ gastrostomy closure

Doc is using 43659 but I can't help but think there might be something else appending with modifer 52, such as 43653. I'm super tired. Again, after quite a long time of dissection, more than about... [ Read More ]

Diagnostic Laparoscopy with Total Vaginal Hysterectomy vs Lap, surgical, w vag hyst

NCCI database does not have every instance of incorrect billing possible as they add things as they see trends. Here is what NCCI has to say: [QUOTE]If a laparoscopy is performed as a “scout” pr... [ Read More ]

Laparoscopic assisted ercp

Lap assisted ercp- one surgeon does the lap.gastric access and the other dr. Does the ercp i think the ercp will be unlisted. What about the lap.gastric access ? 43653 ? Has anyone coded these? Than... [ Read More ]

help please - Patient to surgery

Patient to surgery to remove and then replace gastrostomy tube. Surgeon had to repair the hole made by prior tube and then place new one. Not sure how to bill for closure of the removal. She says for ... [ Read More ]

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