Re: codes

[Guest guest]

Just to clarify further what Polly said:

43846 is the code for the short-limb RNY (Carnie's procedure)

43847 is for the distal RNY

(NOT the D/S specifically, as we all know that there IS no code for

the D/S, which is good in some ways because doctors can bill using

43847 and 43633 and it slips right by the insurance companies in many

instances)

Most coders do not even bother billing for more than two codes with

this surgery because they're usually turned down for additional

ones. 43847 billed as the primary procedure and 43633 billed as the

secondary procedure (usually at a rate of 50% off) seems to be the

standard billing AND approval procedure, and gives doctors the most

bang for the buck.

Best,

> In a message dated 11/14/01 10:16:37 PM Eastern Standard Time,

> duodenalswitch@y... writes:

>

>

> > Message: 15

> > Date: Wed, 14 Nov 2001 18:51:23 EST

> > From: MsMystic1@a...

> > Subject: codes? x post

> >

> > I got approval for Gastric Bypass 43847 and 43633 approved, but

47600 and

> > 44130 denied.

> > What do these codes mean? I tried to look them up on line and

only got

> > some

> > generalized term like gastric. I'd like to know what was denied

exactly.

> > Thanks, Carole

> >

> >

> >

______________________________________________________________________

__

> >

>

> 43847=gastric restrictive procedure (same for rny)

> 43633 Gastrectomy,partial.w/gastroduodenostomy

> 44130=enterostomy,anastomosis,(often considered anintergral part of

43633)

> 47600=gallbladder(cholecystomtomy)

> 44960=appendix

> Hi carol Polly here this is what I know.

> I called Dr Hess Office and asked for the ICD9 code that is 278.01

(my

> insurance company wanted to know that code as well)

> I also heard via the grape vine my work place negotiated the 43847

code as of

> Nov 1 so I am awaiting REAL word on the ok for surgery.

> Keep your fingers crossed for me Polly

>

>

>