Question:
Need 2 make sure I'm using correct insurance code on my letter

Oops! Didn't get all my question in on the previous post! Here it is: For initial request from my insurance, I'm using the letter provided in the "Your Journey" section of this site, but I believe the procedure code listed there is for OPEN Gastric Bypass. My surgeon is wanting to do LAP on me, so it would look pretty dumb to my insurance if I didn't have the right code on my request. Can someone confirm that LAP procedure code is 43659? P.S. - Others that are using this letter as a guide might double check to make sure they have the correct procedure code! Thanks!    — Carly H. (posted on September 30, 2003)


September 30, 2003
Does your ins. require YOU to send the request? Most surgeons do this themselves.
   — Delores S.

September 30, 2003
Original poster here - My insurance asks for (in addition to 5 yr. medical, diet & exercise history) a cover letter that includes my co-morbidities and states medical necessity. I am writing and having my primary care physician review and sign. I'm not sure exactly what my surgeon turns in. The codes will be on this letter and I have used the letter on this site as a guide and personalized it to fit my situation. Copme to think of it, maybe I could leave off the references to procedure codes - surely my surgeon's office will give them that. Thanks.
   — Carly H.

September 30, 2003
Procedure Code 43847 is what you are looking for. Lap Gastric Bypass (RNY). Hope this helps. :)
   — Tammy O.




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