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The CPT® Code 43882 refers to the procedure involving the revision or removal of gastric neurostimulator electrodes specifically located in the antrum of the stomach through an open surgical approach. This procedure is typically indicated for patients suffering from medically refractory gastroparesis, a condition characterized by delayed gastric emptying that does not respond to conventional treatments. The gastric neurostimulator, often referred to as a gastric pacemaker, is a device designed to alleviate symptoms associated with gastroparesis, such as severe nausea and vomiting, by delivering continuous electrical stimulation to the stomach's nerves. During the initial implantation, which is coded as CPT® 43881, electrodes are placed in the stomach's antrum to facilitate this stimulation. However, CPT® 43882 is specifically utilized when there is a need to revise or remove these electrodes, indicating a subsequent surgical intervention following the initial placement. This code is essential for accurately documenting and billing for the surgical management of complications or adjustments related to the gastric neurostimulator system.
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The procedure coded as CPT® 43882 is indicated for patients who have previously undergone the implantation of gastric neurostimulator electrodes and are experiencing complications or the need for revision or removal of these electrodes. The specific indications for this procedure include:
The procedure for CPT® 43882 involves several critical steps to ensure the safe and effective revision or removal of gastric neurostimulator electrodes. The steps are as follows:
Following the procedure coded as CPT® 43882, patients are typically monitored in a recovery area until the effects of anesthesia wear off. Post-procedure care may include pain management, instructions for wound care, and guidelines for activity restrictions to promote healing. Patients may also be advised on dietary modifications as they recover from the surgery. Follow-up appointments are essential to assess the surgical site and ensure that any symptoms related to gastroparesis are being effectively managed. If the electrodes were removed, further evaluation may be necessary to determine alternative treatment options for the patient's condition.
| Short Descr | REVISE/REMOVE ELECTRD ANTRUM | Medium Descr | REVISION/RMVL GASTRIC NSTIM ELTRDE ANTRUM OPEN | Long Descr | Revision or removal of gastric neurostimulator electrodes, antrum, open | Status Code | Carriers Price the Code | Global Days | YYY - Carrier Determines Whether Global Concept Applies | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard 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) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 94 - Other OR upper GI therapeutic procedures |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | GC | This service has been performed in part by a resident under the direction of a teaching physician |
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| 2024-01-01 | Changed | Guideline information changed. |
| 2013-01-01 | Changed | Guideline information changed. |
| 2012-11-30 | Changed | Removed AMA Guidelines referencing deleted code 0162T, per Corrections Notice - 2012 |
| 2007-01-01 | Added | - |
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