How To Use CPT Code 43888

CPT 43888 describes a gastric restrictive procedure that involves the removal and replacement of the subcutaneous port component. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 43888?

CPT 43888 is used to describe a specific gastric restrictive procedure. It involves the removal and replacement of the subcutaneous port component of a gastric restrictive band device. This procedure is typically performed when the port is defective or due to infection.

2. Official Description

The official description of CPT code 43888 is: ‘Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only.’ It is important to note that this code should not be reported in conjunction with codes 43774 and 43887. For laparoscopic removal of both the gastric restrictive device and subcutaneous port components, use code 43774. For the removal and replacement of both the gastric restrictive device and subcutaneous port components, use code 43659.

3. Procedure

1. The provider begins by appropriately prepping and anesthetizing the patient.
2. An incision is made over the implanted port, allowing access to the pocket.
3. The provider inspects the port and pocket to assess the condition.
4. The port component is removed, and a new one is inserted.
5. The new port is attached to the line used to adjust the gastric restrictive band.
6. The functionality of the new port is tested to ensure proper functioning.
7. The provider checks for any bleeding and removes any instruments used during the procedure.
8. The abdominal incision is closed in layers.

4. Qualifying circumstances

CPT 43888 is performed on patients who have a gastric restrictive band device with a subcutaneous port component. The procedure is necessary when the port is defective or due to infection. It is important to note that this code should not be reported with codes 43774 and 43887.

5. When to use CPT code 43888

CPT code 43888 should be used when a provider performs the gastric restrictive procedure of removing and replacing the subcutaneous port component. It is important to ensure that the procedure meets the specific criteria outlined in the official description. This code should not be reported with codes 43774 and 43887.

6. Documentation requirements

To support a claim for CPT 43888, the provider must document the following information:

• Reason for the procedure, such as a defective port or infection
• Details of the procedure, including the removal and replacement of the subcutaneous port component
• Date of the procedure
• Any complications or additional procedures performed
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 43888, it is important to ensure that the procedure meets the specific criteria outlined in the official description. This code should not be reported with codes 43774 and 43887. It is important to follow the appropriate coding guidelines and modifiers when reporting this procedure.

8. Historical information

CPT 43888 was added to the Current Procedural Terminology system on January 1, 2006. There have been no updates or changes to this code since its addition.

9. Examples

1. A patient undergoes a gastric restrictive procedure to have the subcutaneous port component of their gastric restrictive band device removed and replaced due to a defective port.
2. A provider performs a gastric restrictive procedure to remove and replace the subcutaneous port component of a gastric restrictive band device in a patient who developed an infection.
3. A gastric restrictive procedure is performed on a patient to remove and replace the subcutaneous port component of their gastric restrictive band device, as the port was found to be malfunctioning.
4. A provider performs a gastric restrictive procedure to remove and replace the subcutaneous port component of a gastric restrictive band device in a patient who experienced complications with the previous port.
5. A patient undergoes a gastric restrictive procedure to have the subcutaneous port component of their gastric restrictive band device removed and replaced due to a port-related issue.
6. A provider performs a gastric restrictive procedure to remove and replace the subcutaneous port component of a gastric restrictive band device in a patient who requires an updated port for better functionality.
7. A gastric restrictive procedure is performed on a patient to remove and replace the subcutaneous port component of their gastric restrictive band device, as the previous port was causing discomfort.
8. A provider performs a gastric restrictive procedure to remove and replace the subcutaneous port component of a gastric restrictive band device in a patient who experienced an allergic reaction to the previous port.
9. A patient undergoes a gastric restrictive procedure to have the subcutaneous port component of their gastric restrictive band device removed and replaced due to a port-related complication.
10. A provider performs a gastric restrictive procedure to remove and replace the subcutaneous port component of a gastric restrictive band device in a patient who requires a more reliable port for long-term use.