We've created the following resources to help you correctly code and bill payors for Gastric Bypass and LAGB procedures.
Most payors use the procedure codes from the International Classification of Disease, Ninth Revision, Clinical Modification (ICD-9-CM), while hospitals may report the ICD-9-CM procedure code with the ICD-9-CM diagnosis code. Ultimately, the provider is responsible for submitting the correct codes. What's more, payors may want additional patient information to determine coverage and payment. While these resources aren't meant as a substitute for coding guidance from the payor and your own coding staff, we hope they will help you navigate this process.