Tuesday, May 10, 2016

CPT CODE 43647, 43881, 95980 AND ITS COVERED ICD 10 K31.84

Code Description Comments

43647–43648 Laparoscopy, surgical: gastric neurostimulator procedures

43881-43882 Gastric neurostimulator, procedures open

95980–95982 Electronic analysis of implanted neurostimulator pulse generator system

Will only be reimbursed when billed with the following diagnosis codes:

Code Description

'K31.84' Gastroparesis

43257 (Stretta procedure) Upper gastrointestinal endoscopy including esophagus, stomach, and either duodenum and/or jejunum; diagnostic, w/delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of GERD    Not reimbursed

74261,74262 CT colonography, diagnostic, including image postprocessing; with and without contrast
Prior authorization is required

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