BARIATRIC PROCEDURES AND CODING Flashcards
(18 cards)
What is the main focus of the lecture?
Gastric restrictive procedures
What are the two main mechanisms by which bariatric surgery causes weight loss?
- Restricting the amount of food the stomach can hold
- Causing malabsorption of nutrients
What type of surgical procedures are commonly performed for bariatric surgery?
Laparoscopic procedures
Which areas of the gastrointestinal tract may be involved in bariatric surgical procedures?
- Stomach
- Duodenum
- Jejunum
- Ileum
What is the importance of understanding GI tract anatomy in bariatric surgery?
To ensure the correct approach, whether open or laparoscopic
What are the types of laparoscopic procedures discussed in this lecture?
- Adjustable gastric band
- Longitudinal gastrectomy sleeve
How is obesity classified by the World Health Organization?
As a chronic progressive disease
What additional information is needed to code obesity to the highest level of specificity?
- Cause of obesity
- Body mass index
- Drug causing obesity
- Complications during pregnancy, childbirth, or puperium
Name some diseases that obesity can contribute to.
- Diabetes
- Heart disease
- Hypertension
- Osteoarthritis
- Sleep disorders
- Depression
What codes are used for the placement, revision, and removal of the adjustable gastric band?
Codes 43770 through 43774
Describe how the adjustable gastric band is placed.
It is placed around the top of the stomach and fastened into place to create a smaller stomach area for food
What is the procedure for adjusting the gastric band?
The band can be adjusted with a special saline solution and needle syringe
What does the sleeve gastrectomy procedure involve?
Reducing the size of the stomach by removing the bulk in a vertical fashion
What are the advantages of the adjustable gastric band?
- Smaller size stomach
- Excess weight loss in the 40 to 50 percent range
- Reversible
- Adjustable
- Lowest early post-op complication rate
What is the post-operative diagnosis commonly associated with bariatric surgery?
Morbid Obesity
What is the default code for Morbid Obesity when no reason is indicated?
E66.01
What additional code must be reported alongside the obesity code?
Body Mass Index code
True or False: The sleeve gastrectomy creates a bypass in the digestive tract.
False
