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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