Diagnosis code...help

[2bthinagn 3]

Does anyone know what the diagnosis code is??? thanks

[Lap_dancer 8]

BILLING/CODING INFORMATION:

CPT Coding:

43644

Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (Roux limb 150 cm or less)

43645

Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption (investigational)

43770

Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric band (gastric band and subcutaneous port components)

43771

Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric band component only

43772

Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric band component only

43773

Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric band component only

43774

Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric band and subcutaneous port components

43842

Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty

43843

Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty (investigational)

43845

Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch)

43846

Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy (may be done laparoscopically)

43847

Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption (may be done laparoscopically)

There is no specific CPT or HCPCS code to report mini gastric bypass. A laparoscopic approach is used with the mini-gastric bypass. The stomach is segmented similar to a traditional gastric bypass; the jejunum is anastomosed directly to the stomach, similar to a Billroth II procedure. The mini gastric bypass is not based on its laparoscopic approach, but rather the type of anastomosis used.

This on the Blue Cross Blue Sheild page:

http://mcgs.bcbsfl.com/index.cfm?fuseaction=main.main&doc=Surgery%20for%20Clinically%20Severe%20Obesity

[Lap_dancer 8]

43770 is what I'm told is the code. Print out from the site I gave you and give it to the doctor's office. They'll know what to do.

[2bthinagn 3]

Thanks lapdancer!! I bookmarked the link you gave me.

[Alexandra 55]

Those are CPT codes for the procedure. The diagnosis code for Morbid Obesity is 278.1. That has to be in your record for you to be considered medically eligible.