SJH Procedures - Bariatric Service
[Pages:3]New Name APPENDECTOMY, LAPAROSCOPIC
BIOPSY, LIVER, LAPAROSCOPIC CHOLECYSTECTOMY, LAPAROSCOPIC, WITH CHOLANGIOGRAM, WITH INTERNAL HERNIA REPAIR IF INDICATED
CREATION, GASTRIC BYPASS, ROUX-EN-Y, LAPAROSCOPIC, WITH GASTROENTEROSTOMY, WITH LAPAROTOMY IF INDICATED
CREATION, GASTRIC BYPASS, ROUX-EN-Y, LAPAROSCOPIC, WITH LIVER BIOPSY IF INDICATED, WITH HIATAL HERNIA REPAIR IF INDICATED, WITH LAPAROTOMY IF INDICATED
CREATION, GASTRIC BYPASS, ROUX-EN-Y, LAPAROSCOPIC, WITH SLEEVE GASTRECTOMY IF INDICATED, WITH LAPAROTOMY IF INDICATED CREATION, GASTRIC BYPASS, ROUX-EN-Y, LAPAROSCOPIC, WITH SLEEVE GASTRECTOMY IF INDICATED, WITH LIVER BIOPSY IF INDICATED, WITH HIATAL HERNIA REPAIR IF INDICATED, WITH LAPAROTOMY IF INDICATED
CREATION, GASTRIC BYPASS,ROUX-EN Y,XI ROBOTASSISTED,LAPAROSCOPIC ASSISTED,IF INDICATED,GASTRECTOMY SLEEVE IF INDICATED,HIATAL HERNIA REPAIR IF INDICATED,LIVER BIOPSY IF INDICATED,OPEN IF INDICATED ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP), LAPAROSCOPY-ASSISTED, TRANSGASTRIC APPROACH EVACUATION, HEMATOMA
EXPLORATORY LAPAROSCOPY WITH XI ROBOTICS
SJH Procedures - Bariatric Service
Old Name
CPT Code
APPENDECTOMY LAPAROSCOPY
44970 Laparoscopy, surgical, appendectomy
CHOLECYSTECTOMY LAPSC, POS CHOLANGIOGRAM~POSS INT HERNIA + OPEN
GASTRIC-BYPASS ROUX-EN-Y LAPAROSCOPIC POSS LAPAROTOMY
GASTRIC BYPASS ROUX-EN-Y POSS REP HIATAL HERNIA+LIVER BX LAPSCOPE POSS OPEN GASTRIC-BYPASS-ROUX-EN-Y POSS GAST SLEEVE LAPARSCY POSS OPEN
38120 Laparoscopy, surgical, splenectomy
*44050 44238 47562 47563
*47600 *47605 *43644
*43846
*43644
*43645
Reduction of volvulus, intussusception, internal hernia, by laparotomy Unlisted laparoscopy procedure, intestine (except rectum)
Laparoscopy, surgical; cholecystectomy
Laparoscopy, surgical; cholecystectomy with cholangiography
Cholecystectomy;
Cholecystectomy; with cholangiography
Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy
Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption
Service General, Bariatric
Bariatric Bariatric Bariatric Bariatric Bariatric Bariatric Bariatric Bariatric Bariatric
Bariatric
Bariatric
Bariatric
Bariatric
GASTRIC BYPASS ROUX-EN-Y POSS GASTRECTOMY SLEEVE POSS HIATAL HERNIA POSS LIVER BX LAPAROSCOPY POSS OPEN
*43644 *43645
Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)
Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption
Bariatric Bariatric Bariatric Robotics
BARIATRIC INTRAOPERATIVE LAPAROSCOPIC ASSISTED ERCP EVACUATION OF HEMATOMA
Page 1 of 3
43260 Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)
Bariatric
Gynecology, Gynecology Oncology, General, Bariatric, Spine, Neurosurgery, Plastics, Cardiac/Open Heart, Thoracic, General Robotics, Gynecology Robotics, Urology, Urology Robotics, Vascular General Robotics, Bariatric Robotics
* Indicates Inpatient only CPT Code/Procedure
New Name
Old Name
SJH Procedures - Bariatric Service
CPT Code
Service
GASTRECTOMY SLEEVE,XI ROBOT-ASSISTED,HIATAL HERNIA REPAIR IF INDICATED,LIVER BIOPSY IF INDICATED,LAPAROSCOPIC ASSISTED IF INDICATED,OPEN IF INDICATED GASTRECTOMY, SLEEVE, LAPAROSCOPIC
GASTRECTOMY, SLEEVE, LAPAROSCOPIC, WITH LAPAROSCOPIC HIATAL HERNIA REPAIR IF INDICATED GASTRECTOMY, SLEEVE, LAPAROSCOPIC, WITH LIVER BIOPSY IF INDICATED INSERTION OR REMOVAL, GASTROSTOMY TUBE, LAPAROSCOPIC
INSERTION, BALLOON, INTRAGASTRIC, ENDOSCOPIC LAPAROSCOPY, EXPLORATORY, WITH INTERNAL HERNIA REPAIR AND/OR LAPAROTOMY IF INDICATED
REMOVAL, BALLOON, INTRAGASTRIC, ENDOSCOPIC REPAIR, HERNIA, HIATAL, LAPAROSCOPIC REPAIR, HERNIA, INCISIONAL OR VENTRAL, ROBOT-ASSISTED, LAPAROSCOPIC, USING XI
REPAIR, HERNIA, UMBILICAL, LAPAROSCOPIC
REVISION, ANASTOMOSIS, GASTROJEJUNAL
REVISION, INSERTION, OR REMOVAL, GASTROSTOMY OR JEJUNOSTOMY TUBE
GASTRECTOMY SLEEVE W POSS REP HIATAL HERNIA+LIVER BX LAPSCOPE GASTRECTOMY SLEEVE LAPAROSCOPIC INSERTION/REMOVAL GASTRECTOMY TUBE LAPAROSCOPIC ENDOSCOPIC INSERTION INTRAGASTRIC BALLOON WITH ANESTHESIA LAPAROSCOPIC EXPLORATORY POSS INTERNAL HERNIA REPAIR POSS OPEN ENDOSCOPIC REMOVAL INTRAGASTRIC BALLOON WITH ANESTHESIA REPAIR HERNIA INCISIONAL/VENTRAL LAPAROSCOPIC W XI ROBOTICS
REPAIR HERNIA UMBILICAL LAPAROSCOPY
REVISION GASTRO-JEJUNAL ANASTAMOSIS
INSERTION/REVISION/REMOVAL TUBE GASTROSTOMY/JEJUNOSTOMY
*43775 *43775
43653 43659 43999 *44050 49320
43999 49652 49653 49654 49655 49656 49652 49653
*43860 *43865
43246
Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)
Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) Unlisted laparoscopy procedure, stomach Unlisted procedure, stomach Reduction of volvulus, intussusception, internal hernia, by laparotomy Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Unlisted procedure, stomach
Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); reducible Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); incarcerated or strangulated Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); reducible Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); reducible Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); reducible Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); incarcerated or strangulated Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube
Bariatric Robotics
Bariatric
Bariatric
Bariatric
Bariatric Bariatric, General
Bariatric, General Bariatric Bariatric, General Bariatric, General
Bariatric Bariatric General Robotics, Colorectal Robotics, Bariatric Robotics General Robotics, Colorectal Robotics, Bariatric Robotics
General Robotics, Colorectal Robotics, Bariatric Robotics General Robotics, Colorectal Robotics, Bariatric Robotics General Robotics, Colorectal Robotics, Bariatric Robotics General, Bariatric
General, Bariatric
Bariatric, General
Bariatric, General
General, Bariatric
Page 2 of 3
* Indicates Inpatient only CPT Code/Procedure
New Name
REVISION, INSERTION, OR REMOVAL, GASTROSTOMY OR JEJUNOSTOMY TUBE
SJH Procedures - Bariatric Service
Old Name
CPT Code
INSERTION/REVISION/REMOVAL TUBE GASTROSTOMY/JEJUNOSTOMY
43762 43763 44186 44372 44373
49440 49441 49446 49450 49451
Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract
Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding)
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube
Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report
Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report
Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report
Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report
Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report
Service General, Bariatric General, Bariatric
General, Bariatric General, Bariatric General, Bariatric
General, Bariatric General, Bariatric General, Bariatric General, Bariatric General, Bariatric
Page 3 of 3
* Indicates Inpatient only CPT Code/Procedure
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