FloridaJen
The Curious One
As I try to navigate my appeal, I was looking at different codes. Can anyone explain these codes to me?
My surgeon submitted this: "In this case, there is no listing for CPT for Lap DS. Therefore, the unlisted code 43659 is used. This should be pre-authorized and charged equal to 43845 (Open DS) which the most comparable code for that procedure."
but I'm wondering how this works and if a more generic bariatric code can be used?
https://www.icd10data.com/ICD10CM/Codes/Z00-Z99/Z77-Z99/Z98-/Z98.0
https://www.icd10data.com/ICD10CM/Codes/Z00-Z99/Z77-Z99/Z98-/Z98.84
DianaCox Larra
My surgeon submitted this: "In this case, there is no listing for CPT for Lap DS. Therefore, the unlisted code 43659 is used. This should be pre-authorized and charged equal to 43845 (Open DS) which the most comparable code for that procedure."
but I'm wondering how this works and if a more generic bariatric code can be used?
https://www.icd10data.com/ICD10CM/Codes/Z00-Z99/Z77-Z99/Z98-/Z98.0
https://www.icd10data.com/ICD10CM/Codes/Z00-Z99/Z77-Z99/Z98-/Z98.84
DianaCox Larra
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