Coding Rules Current as at 18-Oct-2016 08: 31

Published 15 June 2015,
for implementation 01 July 2015.

Ref No: Q2960 | Published On: 15-Jun-2015 | Status: Current

SUBJECT: Revision procedure for obesity 

Q:

What codes are assigned for laparoscopic gastric bypass performed on a patient who previously had a sleeve gastrectomy?

A:

As per the instructional note at 30514-01 [889] Revision procedure for obesity, assign first a code for the obesity procedure performed, followed by 30514-01 [889]:

30512-03 [889] Laparoscopic gastric bypass

30514-01 [889] Revision procedure for obesity

The following inclusion terms have been added to 30514-01 [889] for ACHI Ninth Edition, to clarify code assignment:

Revision (reoperation) of:

1. 
    biliopancreatic diversion
   
2. 
    duodenal jejunal bypass
   
3. 
    gastric bypass
   
4. 
    gastroplasty
   
5. 
    ileal interposition
   
6. 
    sleeve gastrectomy
   

30514-01 [889] should not be assigned for revision/replacement of gastric band or gastric band reservoir.