How To Use CPT Code 43886

CPT 43886 describes a gastric restrictive procedure that involves the revision of the subcutaneous port component of an adjustable gastric restrictive device. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 43886?

CPT 43886 is a code used to describe the revision of the subcutaneous port component of an adjustable gastric restrictive device. This procedure is performed to correct issues such as kinking of the tube that connects the gastric band to the reservoir or to treat infection by irrigating the subcutaneous pocket with antibiotics.

2. Official Description

The official description of CPT code 43886 is: ‘Gastric restrictive procedure, open; revision of subcutaneous port component only.’

3. Procedure

1. The provider begins by making an incision over the implanted port and entering the pocket.
2. They inspect the port and address any issues, such as kinking of the tube connecting the gastric band to the reservoir.
3. If there is an infection, the provider irrigates the pocket with antibiotic solution.
4. If there is recurrent infection or complaints of pain, the provider may move the reservoir to a new pocket.
5. Once the revision is complete, the provider tests the port function, checks for bleeding, removes any instruments, and closes the abdominal incision in layers.

4. Qualifying circumstances

Patients who may require CPT 43886 are those who have previously undergone an adjustable gastric restrictive procedure and are experiencing issues with the subcutaneous port component. This procedure is performed to address problems such as kinking of the tube or infection. The provider must assess the patient’s condition and determine the need for revision of the subcutaneous port component.

5. When to use CPT code 43886

CPT code 43886 should be used when a provider performs a revision of the subcutaneous port component of an adjustable gastric restrictive device. It is important to note that this code specifically refers to the revision of the port component only and does not encompass other aspects of the gastric restrictive procedure.

6. Documentation requirements

To support a claim for CPT 43886, the provider must document the following information:

• Patient’s medical history and indication for the revision
• Details of the procedure, including the incision site and approach
• Description of any issues encountered during the revision
• Documentation of any irrigation with antibiotic solution
• Testing of the port function
• Any complications or post-procedure instructions

7. Billing guidelines

When billing for CPT 43886, ensure that the procedure performed is a revision of the subcutaneous port component of an adjustable gastric restrictive device. It is important to follow the specific documentation requirements and guidelines provided by the payer. Additionally, be aware of any bundling or unbundling rules that may apply to this code.

8. Historical information

CPT 43886 was added to the Current Procedural Terminology system on January 1, 2006. There have been no updates or changes to the code since its addition.

9. Examples

1. A provider performs a revision of the subcutaneous port component of an adjustable gastric restrictive device to correct kinking of the tube for a patient who has previously undergone gastric band surgery.
2. A patient presents with an infection in the subcutaneous pocket of their adjustable gastric restrictive device, and the provider performs a revision of the port component, irrigating the pocket with antibiotics.
3. A provider moves the reservoir of an adjustable gastric restrictive device to a new pocket for a patient who has experienced recurrent infections or complaints of pain.
4. A revision of the subcutaneous port component is performed by a provider to address issues with the port function for a patient who has undergone gastric restrictive surgery.
5. A patient requires a revision of the subcutaneous port component of their adjustable gastric restrictive device due to complications with the port reservoir.
6. A provider performs a revision of the subcutaneous port component of an adjustable gastric restrictive device for a patient who has experienced discomfort and difficulty with the port function.
7. A revision of the subcutaneous port component is performed by a provider to address kinking of the tube connecting the gastric band to the reservoir for a patient who has previously undergone gastric restrictive surgery.
8. A patient presents with an infection in the subcutaneous pocket of their adjustable gastric restrictive device, and the provider performs a revision of the port component, irrigating the pocket with antibiotics.
9. A provider moves the reservoir of an adjustable gastric restrictive device to a new pocket for a patient who has experienced recurrent infections or complaints of pain.
10. A revision of the subcutaneous port component is performed by a provider to address issues with the port function for a patient who has undergone gastric restrictive surgery.