Question:
Does anyone know the CPT code for LAPAROSCOPIC roux-n-y?

   — [Anonymous] (posted on October 17, 2001)

October 17, 2001
43999. open is 43846 or 43847. Good luck and God Bless!
   — Kimberly L.

October 17, 2001
43999 is a code for "unlisted procedure, stomach"....it certainly isn't the code for lap rny. I'm a certified coder and there is no code specifically for lap gastric restrictive rny....depending on the operative report, the code would be 43846 or 43847. I;ve seen other folks asking about cpt codes. Why?????? only the doc should provide cpt codes....no insurer would ever ask the patient for them anyway. I don't get it........
   — [Anonymous]

October 17, 2001
Thanks for clearing that up anonymous. Some people want the CPT code so that they can be specific with their insurance company as to whether or not that procedure is covered. Believe it or not, the materials I received from my hospital asked that I call my insurance company and specifically request whether the lap rny was covered -- by using the 43999 procedure code. Capice?
   — Kimberly L.

October 17, 2001
x(****xxahhhhhhhh!!!!!! Kimberly L., that sound you hear is me screaming. Any hospital should know better.....cpt codes that end in "99" are always "unlisted codes" that insurers either won't make payment on or they request reams and reams of clinical documentation. If they routinely ask patients to inquire about coverage for 43999... they are setting those people up for denials.
   — [Anonymous]

October 17, 2001
I hear your screams all the way here in Cleveland! Anyway, Cleveland Clinic (supposedly world renowned) has this very code on their info sheet. I don't know about their history of denials etc. All I know is they approved me. :-)
   — Kimberly L.