kelliephillips
New
Does anyone have any details on the "orbera" (intragastric balloon) placement procedure? I am needing help on finding the correct cpt code for this procedure. This is a brand new surgery to our facility.
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Wiki Gastric balloon placement
- Thread starter kelliephillips
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michelle24
Contributor
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I was just researching this myself. I'm almost positive it will have to get submitted as an Unlisted Stomach, 43999 but if anyone has any other suggestions, I'd love to hear.
CodingKing
True Blue
It doesn't have a code assigned yet so unlisted would be correct. Also make sure you are getting waivers signed as most (if not all) insurance companies find this experimental and investigational.
afalcon@dhcla.com
Guest
this is a cash only procedure as of now. We use a dummy code in our system to be able to post the money paid by patient.
Deb Nelsen CPC
My physician was one of the physicians that worked with the FDA to get this procedure approved. This is a cash pay procedure, no insurances are covering this procedure,you bill the unlisted code, 43999, and make sure that your patient pays up front for the procedure.
My physician was one of the physicians that worked with the FDA to get this procedure approved. This is a cash pay procedure, no insurances are covering this procedure,you bill the unlisted code, 43999, and make sure that your patient pays up front for the procedure.
michelle24
Contributor
- Messages
- 15
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- 0
Hi Deb:
Is your office charging 1 flat fee for the placement & removal? Or are you charging the patient for placement & the Insurance for removal?
Any insight you may have is much appreciated.
ToniCstl
Guest
ReShape Gastric Balloon
A sales representative told our Practice Manager that a UHC Choice Plus policy carried by AT&T employees is covering the ReShape Integrated Dual Balloon System. Has anyone had any experience with this?
A sales representative told our Practice Manager that a UHC Choice Plus policy carried by AT&T employees is covering the ReShape Integrated Dual Balloon System. Has anyone had any experience with this?
MadhanSR
New
Gastric baloon placement
Gastric balloon placement via EGD -43999. Can anyone explain any other code is suitable for this procedure?
Gastric balloon placement via EGD -43999. Can anyone explain any other code is suitable for this procedure?
Aldandi
New
Hi all, Please check the codes 43290 for placement and 43291 is for replacement. Hope this answers your question 
Happy coding
Happy coding