Coding Ahead
CasePilot
Medical Coding Assistant
Case2Code
Search and Code Lookup Tool
RedactPHI
HIPAA-Compliant PHI Redaction
DetectICD10CM
ICD-10-CM Code Detection
Log in Register free account
1 code page views remaining. Guest accounts are limited to 1 page view. Register free account to get 5 more views.
Log in Register free account
CPT®
0158T

CPT® Code 0158T
Deleted

Code deleted, see 43999

Official Description

Laparotomy, revision or removal of gastric stimulation electrodes, lesser curvature (ie, morbid obesity)

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The procedure described by CPT® Code 0158T involves a laparotomy, which is a surgical operation that opens the abdominal cavity. This specific procedure focuses on the revision or removal of gastric stimulation electrodes that are located in the lesser curvature of the stomach. Gastric stimulation electrodes are devices that are implanted to assist in the management of morbid obesity, particularly in patients who may also have diabetes. The primary function of these electrodes is to deliver electrical impulses to the stomach, which helps to reduce food intake and delay gastric emptying, thereby aiding in weight loss. The implantation process involves creating a subcutaneous pocket in the abdominal wall where a generator device is placed. This generator is connected to two stimulation leads that are implanted in the muscle wall of the stomach. The leads are carefully tunneled under the skin to connect to the generator, allowing for controlled gastric stimulation. The electrical stimulation can be administered in various patterns, such as continuous cycles or pulse trains, to optimize the therapeutic effects. The use of CPT® Code 0158T is specifically designated for cases where there is a need to revise or remove these electrodes, indicating a significant intervention in the management of the patient's obesity treatment plan.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 0158T is indicated for patients who require revision or removal of gastric stimulation electrodes due to various reasons related to their treatment for morbid obesity. The following conditions may warrant this procedure:

  • Revision of Electrode Placement This may be necessary if the initial placement of the gastric stimulation electrodes has resulted in complications or if the electrodes are not functioning as intended.
  • Removal of Malfunctioning Electrodes If the gastric stimulation electrodes are malfunctioning or causing adverse effects, removal may be required to prevent further complications.
  • Change in Treatment Plan A change in the patient's treatment plan, such as transitioning to a different weight loss intervention, may necessitate the removal of the gastric stimulation electrodes.
  • Management of Complications Patients experiencing complications related to the gastric stimulation device, such as infection or discomfort, may need this procedure to address those issues.

2. Procedure

The laparotomy procedure for the revision or removal of gastric stimulation electrodes involves several critical steps to ensure the safe and effective management of the patient's condition. The following procedural steps are outlined:

  • Step 1: Anesthesia Administration The patient is placed under general anesthesia to ensure comfort and immobility during the surgical procedure. This is a standard practice for laparotomy to minimize pain and anxiety.
  • Step 2: Surgical Incision A surgical incision is made in the abdominal wall to access the stomach. The incision is typically located along the midline or in a position that provides optimal access to the lesser curvature of the stomach.
  • Step 3: Exposure of the Stomach Once the abdominal cavity is opened, the surgeon carefully navigates through the layers of tissue to expose the stomach and locate the gastric stimulation electrodes that need to be revised or removed.
  • Step 4: Electrode Revision or Removal The surgeon then proceeds to either revise the placement of the electrodes or remove them entirely, depending on the specific needs of the patient. This may involve detaching the leads from the generator and carefully extracting the electrodes from the muscle wall of the stomach.
  • Step 5: Closure of Incision After the revision or removal is completed, the surgeon will close the abdominal incision in layers, ensuring that all tissues are properly aligned and sutured to promote healing.

3. Post-Procedure

Following the laparotomy for the revision or removal of gastric stimulation electrodes, patients are typically monitored in a recovery area until they are stable. Post-procedure care may include pain management, monitoring for signs of infection, and ensuring proper healing of the surgical site. Patients may be advised on dietary modifications and follow-up appointments to assess their recovery and any further treatment needs. The expected recovery time can vary based on individual patient factors and the extent of the procedure performed.
Short Descr OPEN REMV GAST CURVE ELECTRD
Medium Descr LAPT REVJ/RMVL GASTRIC ELTRD < CURVATURE
Long Descr Laparotomy, revision or removal of gastric stimulation electrodes, lesser curvature (ie, morbid obesity)
Status Code Carriers Price the Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 0 - Physician Service Code
Multiple Procedures (51) 0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Discontinued Code
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) none
MUE Not applicable/unspecified.
CCS Clinical Classification 94 - Other OR upper GI therapeutic procedures
Date
Action
Notes
2012-01-01 Deleted Code deleted, see 43999
2007-01-01 Added Code added.
Code
Description
CasePilot

Get instant expert-level medical coding assistance.

Ask about:
CPT Codes Guidelines Modifiers Crosswalks NCCI Edits Compliance Medicare Coverage
Example: "What is CPT code 99213?" or "Guidelines for E/M services"