Question:
My ins. has procedure code as 43846

The sample appeal letter on here states that it should be 43847 ...but ins has it as 43846. Is this because I am having laproscopic Rny? Also she didn't say anything about diagnosis code...should I ask what it is? I JUST WANT TO GET APPROVED!! Grrr....Please help!    — Snowflake48342 (posted on March 27, 2003)

March 26, 2003
<li> 43846 - Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (less than 100 cm) Roux-en Y gastroenterostomy <li> 43847 - Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption
   — John Rushton

March 27, 2003
My insurer, Aliiance PPO, uses a different code from both of those for Lap. They use the codes you have for open RNY. When I asked them why they have different codes, they simply stated that they use different codes. I confirmed the description that went with their code and the Dr. and I used their code. I wouldn't worry about it just make sure their code matches what you're Dr is asking for.
   — M B.