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tci General Surgery Coding Alert - 2021 Issue Q4

Reader Questions: Check Limb Length for Roux-en-Y

Question: The surgeon performed a laparoscopic gastric restrictive surgery for obesity by stapling the stomach, then cutting the small intestine and creating a 140 cm limb with anastomosis from the proximal stomach to a more distal location of the small intestine. How should we code this? Tennessee Subscriber Answer: The correct code would be 43644 (Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)). This is a Roux-en-Y procedure in which the surgeon restricts the size of the stomach by closing off, not removing, a portion of the stomach. The surgeon...

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