tci General Surgery Coding Alert - 2007 Issue 4

READER QUESTION: Adjustments Aren't the Same as Revisions

Question: How should I code for adjustments my surgeon makes to a laparoscopically placed gastric band? Generally, the surgeon will see the patient in the office and make these adjustments by injecting (or sometimes aspirating) saline solution via a port. Is 43771 appropriate for this service?California Subscriber Answer: Gastric band adjustments (by saline injection or aspiration) are not the same as revisions as described by 43771 (Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric band component only).The surgeon performs -adjustments- routinely (generally in the office) several times a year to optimize weight loss. You should include...

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