Subject: CPT codes (was Re: stupid insurance companies)

[Guest guest]

,

43846 is the code used for the RNY (promixal RNY).

43847 is the code used for the D/S (distal RNY).

Often, 43847 is billed with 43633 (gastrectomy).

Best,

> > In a message dated 12/2/01 5:58:48 AM Eastern Standard Time,

> > duodenalswitch@y... writes:

> >

> > << I'm already gearing up for a fight with the insurance company,

> and

> > since my surgeon is so pro-RNY, I don't expect much help from

that

> > quarter. But if I can get them to use wording for the DS on the

> LOMN

> > that will get it past the reviewer at the insurance company, I

may

> be

> > ahead of the game.

> >

> > Thanks!

> > >>

> > - if your surgeon is so pro RNY and you tell him that other

DS

> surgeons

> > are just using the code and calling it something else, he just

> might want to

> > blow it for everyone and those surgeons. Please do me a favor

and

> do not

> > mention any names of the surgeons involved that have learned how

to

> deal with

> > insurance companies.

> > I read somewhere on this list that the code you got approved for

is

> for

> > RNY)43846) but the 43848 is for the Long Limb Reu En Y, which is

> what the DS

> > is.

> > PLEASE if your surgeon is pro RNY, go to another Dr. instead of

> asking him to

> > change the code and saying other docs do that. He will probably

> say they are

> > not being honest, but they are - they are just using the correct

> code. Seems

> > to me like your Doc wants to give you the RNY, and since you will

> be out

> > during surgery, I sure would want to be able to trust that I'd

get

> what I

> > wanted and that the Doc knows how to do the surgery.

> > Carole