so because the insurance co called me to tell me I was approved I had not actually seen the approval letter till today. 

Here is what it says..

cpt-43845 gastroplasty duodenal switch

cpt-49320 diag laparo seperate procedure

now it seems like the gastroplasty duodenal switch seems correct (gastroplasty being the sleeve and duodenal being the rest)

but mine is a revision from the rny.. should that not be mentioned somewhere.. also whats with the diagnostic procedure ?

Anyone who have a revision have theres listed like this??

actually,gastroplasty is stomach stapling,the old VGB,vertical banded gastroplasty. It is NOT a sleeve. The sleeve is called a gastrectomy,the ectomy part meaning something is cut off or removed as it is in the sleeve. 

I would make very very sure,I knew exactly what my surgeon was planning to do. From what he has submitted to insurance,it is not a sleeve gastrectomy.

gl

Sigh.. This is the last thing I want to hear

I'm sure. But talk to. Your surgeon and make sure he explains the procedure he plans to do. It may. Just. Be the coding for insurance to make sure it is covered,but I  would want to be. Rey very sure and I know you do also.

GL

I also found this on the internet

2. Biliopancreatic Bypass with Duodenal Switch (CPT code 43845—gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileosteomy [50 to 100 cm common channel] to limit absorption [biliopancreatic diversion with duodenal switch])

CPT code 43845, which specifically identifies the duodenal switch procedure, was introduced in 2005. The duodenal switch procedure is essentially a variant of the biliopancreatic bypass described above. In this procedure, instead of performing a distal gastrectomy, a sleeve gastrectomy is performed along the vertical axis of the stomach. This approach preserves the pylorus and initial segment of the duodenum, which is then anastomosed to a segment of the ileum, similar to the biliopancreatic bypass, to create the alimentary limb. Preservation of the pyloric sphincter is intended to ameliorate the dumping syndrome and decrease the incidence of ulcers at the duodenoileal anastomosis by providing a more physiologic transfer of stomach contents to the duodenum. The sleeve gastrectomy also decreases the volume of the stomach and decreases the parietal cell mass. However, the basic principle of the procedure is similar to that of the biliopancreatic bypass, i.e., producing selective malabsorption by limiting the food digestion and absorption to a short common ileal segment.

does this sound like a ds to you?? this is the code on my insurance paperwork..

are you sure about this??? I did a search on the internet on gastroplasty and got this..

Vertical Gastroplasty/Gastrectomy (VG)

Another restrictive surgical weight loss procedure, the Vertical Gastrectomy procedure (also called Vertical Sleeve Gastrectomy, Sleeve Gastrectomy, Greater Curvature Gastrectomy, Parietal Gastrectomy, Gastric Reduction and even Vertical Gastroplasty)

they seem to be using gastrctomy and gastroplasty the same???

is there noone out there with a revision with their approval notice from the insurance company that can verify this info????

will of course be asking my dr but looking for some info.

the first explanation does sound like a DS. It is possible the terms are being used interchangeably now, but in. The truest sense of the wors,they are different.

 Hopefully some of the vets willbe along sol also,with their outs. I maybe totally wrong and definatelyhe I. Am.

Well I will defiantly as the surgeon but I feel better when I read the part that says the code was created in 2005 as designation for a ds. I'm pretty sure I am safe but since I am a revision I need to make sure I know what o am getting for sure