What is the criteria for gastric sleeve surgery? You typically qualify for bariatric surgery if you have a BMI of 35-39, with specific significant health problems like Type 2 diabetes, sleep apnea or high blood pressure. A BMI of 40 or higher also is a qualifying factor.
The Complication Rates of Gastric Sleeve Surgery
Step-By-Step Process
Z98. 84 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Noridian Local Coverage for Laparoscopic Sleeve GastrectomyCodeDescription43775LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; LONGITUDINAL GASTRECTOMY (IE, SLEEVE GASTRECTOMY)
ANSWER: There is no specific new code for "open vertical sleeve gastrectomy". 43775 is a laparoscopic code. The code 43843 (Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical banded gastroplasty) can be used for this open cases.
Codes. Description. ... 43644. Laparoscopy, surgical, gastric restrictive procedure with gastric bypass and Roux-en-Y. ... 43842. Gastric restrictive procedure, without gastric bypass, for morbid obesity, vertical banded. ... 43844. Laparoscopic gastric restrictive procedure with gastric bypass and Roux en Y. ... 43846. ... 43659. ... S2085. ... 44.68.
2 Must be accompanied by DRG 288 or another bariatric surgery procedure. DRG = Diagnosis-Related Groups; CPT = Current Procedural Terminology.
During the laparoscopic sleeve gastrectomy (LSG), about 75% of the stomach is removed leaving a narrow gastric “tube” or “sleeve”. No intestines are removed or bypassed during the sleeve gastrectomy. The LSG takes one to two hours to complete.
If the procedure is laparoscopic, use code 43644 Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) or 43645 Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption.
CPT® Code 43774 in section: Laparoscopy, surgical, gastric restrictive procedure.
There are no specific CPT codes for laparoscopic excision of a gastric lesion, laparoscopic partial gastrectomy, and laparoscopic wedge resection of the stomach....Table 1.ProcedureCPT CodeRemoval of stomach, partial (open)43631–43632Laparoscopic wedge resection of stomach43659*1 more row
NOTE: CPT code 43847 may be used to report biliopancreatic bypass (Scopinaro procedure) OR long- limb gastric bypass (> 150 cm).
ICD-Code E66* is a non-billable ICD-10 code used for healthcare diagnosis reimbursement of Overweight and Obesity. Its corresponding ICD-9 code is 278.
E66. 01 is morbid (severe) obesity from excess calories.
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Z98.84. Click on any term below to browse the alphabetical index.
This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code V45.86 was previously used, Z98.84 is the appropriate modern ICD10 code.