bariatric

  1. L

    Wiki SADI - S (bariatric procedure)

    Does anyone have experience with coding this procedure? I have not found much information on the coding part of it. My doctor is about to start doing them and I am trying to find a good comparison for when I bill it with the unlisted code. If I understand right they will be doing it...
  2. O

    Wiki Inconsistent OON Reimbursement Rates (same patient, different claims)

    Hello all. I work for a bariatric surgeon. Recently we have noticed payers like Aetna and UHC reimbursing us at wildly different rates (we are out of network with them). For example, a patient will have an upper endoscopy that is paid almost in full ($11K). The EOB states the reimbursement is...
  3. M

    Wiki Paitent seen to request referral.

    An established patient was seen to request a referral for weight loss surgery. A physical exam and ROS were done, but no other issues were discussed, just the referral for weight loss surgery. What diagnosis code should I use for this? Is this even billable?
  4. J

    Wiki Bariatric Surgery

    Please help me code for this OP report Thank you OPERATION PERFORMED: 1. Diagnostic laparoscopy. 2. Laparoscopic omentectomy. 3. Laparoscopic gastric wedge resection. 4. Multiple intraabdominal biopsies. 5. Laparoscopic band and port removal. 6. Laparoscopic lysis of adhesions...
  5. A

    Wiki Bariatric Screening Lab?

    BCBS is denying our labs that we have ordered on our Bariatric patients due to not medically necessary. We order these to see if there are any comorbidities that the patient/physician isn't aware of. This really wouldn't be considered pre-operative lab work, as we haven't scheduled the surgery...
  6. P

    Wiki Bariatric surgery - lap band deflation

    Is there a CPT for this or would this be included in the office/clinic visit? AP standard band deflated Numbing spray used Port cleaned with alcohol Huber needle used to access port 7 ml of saline removed from band
  7. J

    Wiki Modifier 26

    May modifier 26 ever be used with an E/M code? Thanks!
    • jannacrock
    • Thread
    • bariatric center code e/m modifier
    • Replies: 1
    • Forum: Modifiers
  8. L

    Wiki Bariatric coding dilemma NEED HELP PLEASE!

    Our bariatric surgeon has performed some laprascopic port revisions in cases where the port has flipped. The only code that comes close to meeting the description of this procedure is CPT 43886 which reads, "Gastric restrictive procedure; open; revision of subcutaneous port component only."...
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