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Bariatric Coding

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Principles of Coding and Reimbursement for Surgeons

Abstract

In light of the epidemic of obesity impacting our society, the treatment of morbid obesity with surgery has obtained mainstream status. In fact, for many patients and their physicians, bariatric surgery is recognized as the preferred course of action. Coding for the most commonly performed procedures remains a relatively straightforward process. Although, at times, obtaining approval by payors can prove problematic, the benefits of bariatric surgery have become clear. Less commonly performed procedures including revisional operations necessitate a broader understanding of coding to determine which options are best. This chapter will review the coding for initial, commonly performed procedures and introduce the reader to options for more complex bariatric surgical procedures.

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References

  1. Baddeley RM. An epilogue to jejunoileal bypass. World J Surg. 1985;9(6):842–9.

    Article  CAS  PubMed  Google Scholar 

  2. Fikri E, Cassella R. Jejunoileal bypass for massive obesity: results and complications in fifty-two patients. Ann Surg. 1974;179(4):460–4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Mason EE. Vertical banded gastroplasty for obesity. Arch Surg. 1982;117(5):701–6.

    Article  CAS  PubMed  Google Scholar 

  4. Mason EE, Ito C. Gastric bypass. Ann Surg. 1969;170(3):329–39.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Scopinaro N, et al. Bilio-pancreatic bypass for obesity: II. Initial experience in man. Br J Surg. 1979;66(9):618–20.

    Article  CAS  PubMed  Google Scholar 

  6. Gastrointestinal surgery for severe obesity. Proceedings of a National Institutes of Health Consensus Development Conference. March 25-27, 1991, Bethesda, MD. Am J Clin Nutr. 1992;55(2 Suppl):487–619S.

    Google Scholar 

  7. Mechanick JI, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient – 2013 update: cosponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery. Obesity (Silver Spring). 2013;21 Suppl 1:S1–27.

    Article  CAS  Google Scholar 

  8. Marek RJ, Tarescavage MA, Ben-Porath YS, Ashton K, Rish JM, Heinberg LJ. Using presurgical psychological testing to predict 1-year appointment adherence and weight loss in bariatric surgery patients: predictive validity and methodological considerations. Surg Obes Relat Dis. 2015;11:1171–81.

    Article  PubMed  Google Scholar 

  9. Pomerri F, et al. Adjustable silicone gastric banding for obesity. Gastrointest Radiol. 1992;17(3):207–10.

    Article  CAS  PubMed  Google Scholar 

  10. Adjustable stomach band approved for severe obesity. FDA Consum. 2001;35(5):4.

    Google Scholar 

  11. Carmichael AR, Sue-Ling HM, Johnston D. Quality of life after the Magenstrasse and Mill procedure for morbid obesity. Obes Surg. 2001;11(6):708–15.

    Article  CAS  PubMed  Google Scholar 

  12. Johnston D, et al. The Magenstrasse and Mill operation for morbid obesity. Obes Surg. 2003;13(1):10–6.

    Article  PubMed  Google Scholar 

  13. Regan JP, et al. Early experience with two-stage laparoscopic Roux-en-Y gastric bypass as an alternative in the super-super obese patient. Obes Surg. 2003;13(6):861–4.

    Article  CAS  PubMed  Google Scholar 

  14. Hutchison RL, Hutchison AL. Cesar Roux and his original 1893 paper. Obes Surg. 2010;20(7):953–6.

    Article  PubMed  Google Scholar 

  15. Hess DS, Hess DW. Biliopancreatic diversion with a duodenal switch. Obes Surg. 1998;8(3):267–82.

    Article  CAS  PubMed  Google Scholar 

  16. Welch NT, et al. Effect of duodenal switch procedure on gastric acid production, intragastric pH, gastric emptying, and gastrointestinal hormones. Am J Surg. 1992;163(1):37–44; discussion 44–5.

    Article  CAS  PubMed  Google Scholar 

  17. Anthone GJ, et al. The duodenal switch operation for the treatment of morbid obesity. Ann Surg. 2003;238(4):618–27; discussion 627–8.

    PubMed  PubMed Central  Google Scholar 

  18. de Csepel J, et al. Laparoscopic biliopancreatic diversion with a duodenal switch for morbid obesity: a feasibility study in pigs. J Laparoendosc Adv Surg Tech A. 2001;11(2):79–83.

    Article  PubMed  Google Scholar 

  19. Evans JA, et al. ASMBS, SAGES, ASGE statement: the role of endoscopy in the bariatric surgery patient. Surg Obes Relat Dis. 2015;11:507–17.

    Article  PubMed  Google Scholar 

  20. Houghton SG, et al. Is Roux-en-Y gastric bypass safe after previous antireflux surgery? Technical feasibility and postoperative symptom assessment. Surg Obes Relat Dis. 2005;1(5):475–80.

    Article  PubMed  Google Scholar 

  21. Zainabadi K, et al. Laparoscopic revision of Nissen fundoplication to Roux-en-Y gastric bypass in morbidly obese patients. Surg Endosc. 2008;22(12):2737–40.

    Article  PubMed  Google Scholar 

  22. Balsiger BM, et al. Gastroesophageal reflux after intact vertical banded gastroplasty: correction by conversion to Roux-en-Y gastric bypass. J Gastrointest Surg. 2000;4(3):276–81.

    Article  CAS  PubMed  Google Scholar 

  23. Iannelli A, et al. Laparoscopic sleeve gastrectomy as revisional procedure for failed gastric banding and vertical banded gastroplasty. Obes Surg. 2009;19(9):1216–20.

    Article  PubMed  Google Scholar 

  24. Economou TP, et al. Reversal of small intestinal bypass operations and concomitant vertical banded gastroplasty: long-term outcome. J Am Coll Surg. 1995;181(2):160–4.

    CAS  PubMed  Google Scholar 

  25. Gagner M, Rogula T. Laparoscopic reoperative sleeve gastrectomy for poor weight loss after biliopancreatic diversion with duodenal switch. Obes Surg. 2003;13(4):649–54.

    Article  PubMed  Google Scholar 

  26. Baltasar A. Laparoscopic conversion from Roux-en-Y gastric bypass to biliopancreatic diversion/duodenal switch. Surg Obes Relat Dis. 2008;4(2):210; author reply 210–1.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Don J. Selzer MD, MS, FACS, FASMBS .

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Selzer, D.J. (2017). Bariatric Coding. In: Savarise, M., Senkowski, C. (eds) Principles of Coding and Reimbursement for Surgeons. Springer, Cham. https://doi.org/10.1007/978-3-319-43595-4_19

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  • DOI: https://doi.org/10.1007/978-3-319-43595-4_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43593-0

  • Online ISBN: 978-3-319-43595-4

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