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bariatric surgery

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...
- omgzchristie
- Thread
- Apr 30, 2021
- bariatric bariatric surgery out of network reimbursement
- Replies: 1
- Forum: Billing/Reimbursement
M
Wiki How would you code a surgery that is truly a Sleeve Gastrectomy (43775) but being done for a cancer (non bariatric) or would you use an unlisted CPT

How would you code a surgery that is truly a Sleeve Gastrectomy (43775) but being done for a cancer (non bariatric) or would you use an unlisted CPT
- mshellcpc
- Thread
- Dec 4, 2019
- bariatric surgery stomach
- Replies: 1
- Forum: Medical Coding General Discussion
J
Wiki Re Shape Balloon Placement

Hi can someone help me what code to use for this procedure? I can only find Unlisted code for this procedure. Any suggestion? thanks
- jarquizar
- Thread
- Dec 13, 2017
- balloon bariatric surgery re shape
- Replies: 0
- Forum: Gastroenterology

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