| 43.82 |
09 |
Laparoscopic vertical slv gastrectomy |
NA |
N |
Y |
| 43.89 |
09 |
Open and other partial gastrectomy |
NA |
N |
Y |
| 44.31 |
09 |
High gastric bypass |
NA |
N |
Y |
| 44.38 |
09 |
Laparoscopic gastroenterostomy |
NA |
N |
Y |
| 44.39 |
09 |
Other gastroenterostomy without gastrectomy |
NA |
N |
Y |
| 44.68 |
09 |
Laparoscopic gastroplasty |
NA |
N |
Y |
| 44.95 |
09 |
Lap gastric restrictive proc |
NA |
N |
Y |
| 44.96 |
09 |
Lap revis gastric restrictive proc |
NA |
N |
Y |
| 43633 |
C4 |
Removal of stomach partial |
NA |
N |
Y |
| 43634 |
C4 |
Removal of stomach, partial |
NA |
N |
Y |
| 43644 |
C4 |
Lap gastric bypass/roux-en-y |
NA |
N |
Y |
| 43645 |
C4 |
Lap gastr bypass incl smll i |
NA |
N |
Y |
| 43770 |
C4 |
Lap band placement |
NA |
N |
Y |
| 43771 |
C4 |
Lap gastric restrictive procedure |
NA |
N |
Y |
| 43772 |
C4 |
Lap gastric restrictive procedure |
NA |
N |
Y |
| 43773 |
C4 |
Lap gastric restrictive procedure |
NA |
N |
Y |
| 43774 |
C4 |
Lap gastric restrictive procedure |
NA |
N |
Y |
| 43775 |
C4 |
Lap sleeve gastrectomy |
NA |
N |
Y |
| 43842 |
C4 |
Gastric restrictive proc w/o gast bypass |
NA |
N |
Y |
| 43843 |
C4 |
Gastroplasty w/o v-band |
NA |
N |
Y |
| 43844 |
C4 |
Gastric bypass for obesity |
NA |
N |
Y |
| 43845 |
C4 |
Gast restrictive w/prtl gastrectomy 50-100cm |
NA |
N |
Y |
| 43846 |
C4 |
Gastric bypass for obesity |
NA |
N |
Y |
| 43847 |
C4 |
Gastric bypass incl small i |
NA |
N |
Y |
| 43886 |
C4 |
revise gastric port open |
NA |
N |
Y |
| 43887 |
C4 |
remove gastric port open |
NA |
N |
Y |
| 0DV64CZ |
10 |
Restriction of Stomach with Extraluminal Device, Percutaneous Endoscopic Approach |
NA |
N |
Y |
| 0D1607A |
10 |
Bypass stomach to jejunum with autologous tissue substitute, open approach |
NA |
N |
Y |
| 0D160ZA |
10 |
Bypass stomach to jejunum, open approach |
NA |
N |
Y |
| 0D1607B |
10 |
Bypass stomach to ileum with autologous tissue substitute, open approach |
NA |
N |
Y |
| 0D160ZB |
10 |
Bypass stomach to ileum, open approach |
NA |
N |
Y |
| 0D1647A |
10 |
Bypass stomach to jejunum with autologous tissue substitute, percutaneous endoscopic approach |
NA |
N |
Y |
| 0D1647B |
10 |
Bypass stomach to ileum with autologous tissue substitute, percutaneous endoscopic approach |
NA |
N |
Y |
| 0D164ZA |
10 |
Bypass stomach to jejunum, percutaneous endoscopic approach |
NA |
N |
Y |
| 0D163ZA |
10 |
Bypass stomach to jejunum, percutaneous approach |
NA |
N |
Y |
| 0D1687A |
10 |
Bypass stomach to jejunum with autologous tissue substitute, via natural or artificial opening endoscopic |
NA |
N |
Y |
| 0D1687B |
10 |
Bypass stomach to ileum with autologous tissue substitute, via natural or artificial opening endoscopic |
NA |
N |
Y |
| 0D168ZA |
10 |
Bypass stomach to jejunum, via natural or artificial opening endoscopic |
NA |
N |
Y |
| 0D168ZB |
10 |
Bypass stomach to ileum, via natural or artificial opening endoscopic |
NA |
N |
Y |
| 0DB64Z3 |
10 |
Excision of stomach, percutaneous endoscopic approach, vertical |
NA |
N |
Y |
| 0DB60Z3 |
10 |
Excision of stomach, open approach, vertical |
NA |
N |
Y |
| 0DB63Z3 |
10 |
Excision of stomach, percutaneous approach, vertical |
NA |
N |
Y |
| 0DB67Z3 |
10 |
Excision of stomach, via natural or artificial opening, vertical |
NA |
N |
Y |
| 0DB68Z3 |
10 |
Excision of stomach, via natural or artificial opening endoscopic, vertical |
NA |
N |
Y |
| 181529 |
LO |
Gastric Bypass Roux-En-Y Open |
KPNC |
N |
Y |
| 181530 |
LO |
Gastric Bypass Roux-En-Y Laparoscopic |
KPNC |
N |
Y |
| 201385 |
LO |
Gastric Sleeve Laparoscopic, Restrictive |
KPNC |
N |
Y |
| 201386 |
LO |
Lap Band Placement, Laparoscopic, Restrictive |
KPNC |
N |
Y |
| 201423 |
LO |
Gastric Revision Of Gastric Restrictive Procedure Laparoscopic |
KPNC |
N |
Y |
| 201424 |
LO |
Gastric Removal Restrictive Device, Laparoscopic |
KPNC |
N |
Y |
| 201558 |
LO |
Gastric Bypass Small Bowel Revision |
KPNC |
N |
Y |
| 244756 |
LO |
Lap Band Removal, Laparoscopic |
KPNC |
N |
Y |
| 841218 |
LO |
Gastric Bypass Reversal |
KPNC |
N |
Y |
| 841219 |
LO |
Gastric Bypass Roux-En-Y Open, Complex |
KPNC |
N |
Y |
| 841220 |
LO |
Gastric Bypass Roux-En-Y Laparoscopic, Complex |
KPNC |
N |
Y |
| 841222 |
LO |
Gastric Sleeve Laparoscopic Restrictive, Complex |
KPNC |
N |
Y |
| 218523 |
LO |
ADJUSTMENT, GASTRIC LAP BAND VIA SUBQ PORT INCL FLUORO GUIDE |
KPSC |
N |
Y |
| 223267 |
LO |
GASTRIC BYPASS ROUX-EN-Y LAPAROSCOPIC |
KPHI |
N |
Y |
| 223272 |
LO |
GASTRIC BYPASS ROUX-EN-Y OPEN |
KPHI |
N |
Y |
| 223282 |
LO |
LAPAROSCOPIC SLEEVE GASTRECTOMY SURGERY |
KPHI |
N |
Y |
| 223284 |
LO |
LAPAROSCOPIC REMOVAL GASTRIC RESTRICTIVE DEVICE |
KPHI |
N |
Y |
| 223666 |
LO |
LAPAROSCOPIC PLACEMENT LAP BAND, RESTRICTIVE |
KPHI |
N |
Y |
| 226104 |
LO |
GASTRIC BYPASS REVISION, LAPAROSCOPIC |
KPHI |
N |
Y |
| 226105 |
LO |
GASTRIC REMOVAL OF LAP BAND AND GASTRIC BYPASS, LAPAROSCOPIC |
KPHI |
N |
Y |
| 227705 |
LO |
REMOVAL OF LAP BAND LAPAROSCOPIC |
KPHI |
N |
Y |
| 241171 |
LO |
LAPAROSCOPIC GASTRIC SLEEVE REVISION |
KPHI |
N |
Y |
| 243859 |
LO |
LAPAROSCOPIC GASTRECTOMY SLEEVE |
KPHI |
N |
Y |
| 43846A |
C4 |
GASTRIC BYPASS FOR MORBID OBESITY, W SHORT LIMB ROUX-EN-Y GASTROENTEROSTMY. |
NA |
N |
Y |
| 43847A |
C4 |
GASTRIC BYPASS, RESTRICTIVE, W SMALL INTESTINE RECONSTRUCTION, FOR MORBID OBESITY. |
NA |
N |
Y |
| 139836 |
LO |
High Gastric Bypass |
KPNC |
N |
Y |
| 204832 |
LO |
Gastric Removal Of Lap Band And/Or Access Port, Open Procedure |
KPNC |
N |
Y |
| 204833 |
LO |
Gastric Revision Of Lap Band And/Or Access Port, Open Procedure |
KPNC |
N |
Y |
| 206835 |
LO |
Gastric Bypass W Cholecystectomy |
KPNC |
N |
Y |
| 206836 |
LO |
Gastric Bypass W Cholecystectomy Laparoscopic |
KPNC |
N |
Y |
| 220149 |
LO |
Gastric Sleeve, Open |
KPNC |
N |
Y |
| 903486 |
LO |
Gastrectomy Sleeve, Robot Assisted |
KPNC |
N |
Y |
| 903487 |
LO |
Gastric Bypass Roux-En-Y, Robot Assisted |
KPNC |
N |
Y |
| 905644 |
LO |
Gastric Bypass Roux-En-Y Complex, Robot Assisted |
KPNC |
N |
Y |