tci General Surgery Coding Alert - 2017 Issue 5

You Be the Coder: Zero In On Bypass Surgery Details

Question: The surgeon performed an open gastric bypass procedure in which he described partitioning the stomach with staples. The note also describes cutting the small bowel and anastomosing the distal end of the intestine to the proximal stomach pouch, creating a 140 cm limb. The note further describes anastomosing the “unused” cut end of the small intestine to a more distal location of the small bowel. Please help with the code selection for this procedure. Arkansas Subscriber Answer: You should code this procedure as 43846 (Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb [150...

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