© Copyright 2025 American Medical Association. All rights reserved.
The CPT® Code 43886 refers to a gastric restrictive procedure that is performed through an open surgical approach, specifically focusing on the revision of the subcutaneous port component only. This procedure involves making an incision over the access port, which is the point where the adjustable gastric band is accessed for adjustments. The surgeon carefully divides the subcutaneous fat and the capsule surrounding the port to expose it for inspection. The revision of the port may be necessary due to various reasons, such as a malfunctioning component that affects the functionality of the gastric band or if the port has become malpositioned, which can hinder its effectiveness. During the procedure, the surgeon will either repair or replace the malfunctioning component or reposition the port to ensure it is correctly situated. After addressing the issues with the port, it is secured back to the abdominal fascia using sutures, ensuring stability and proper function. This procedure is distinct from other related codes, such as 43887, which involves the removal of the port without replacement, and 43888, which entails both the removal and replacement of the port. The focus of CPT® Code 43886 is solely on the revision aspect of the port component, emphasizing its critical role in the overall management of gastric banding procedures.
© Copyright 2025 Coding Ahead. All rights reserved.
The gastric restrictive procedure, specifically the revision of the subcutaneous port component as described by CPT® Code 43886, is indicated in the following scenarios:
The procedure begins with the surgeon making an incision over the access port, which is the entry point for adjustments to the gastric band. Following the incision, the surgeon carefully dissects through the subcutaneous fat and the fibrous capsule surrounding the port to gain access to the device. Once the port is exposed, it is thoroughly inspected to assess its condition. If a malfunction is identified, the surgeon will proceed to either repair the existing port component or replace it entirely, depending on the extent of the damage. In cases where the port is simply malpositioned, the surgeon will reposition it to ensure it is correctly aligned with the abdominal wall. After addressing the necessary repairs or adjustments, the port is secured back to the abdominal fascia using sutures, ensuring that it is stable and properly positioned for future adjustments. This meticulous approach is crucial for maintaining the effectiveness of the gastric banding system.
Post-procedure care for patients undergoing CPT® Code 43886 typically involves monitoring for any signs of complications, such as infection or improper healing at the incision site. Patients may be advised to follow specific guidelines regarding activity levels and dietary modifications as they recover. The surgical site should be kept clean and dry, and any sutures will be monitored for proper healing. Follow-up appointments may be scheduled to assess the functionality of the revised port and to ensure that the gastric band is operating as intended. It is essential for patients to adhere to their healthcare provider's instructions during the recovery period to promote optimal healing and prevent complications.
| Short Descr | REVISE GASTRIC PORT OPEN | Medium Descr | GSTR RSTCV PX OPN REVJ SUBQ PORT COMPONENT ONLY | Long Descr | Gastric restrictive procedure, open; revision of subcutaneous port component only | Status Code | Active Code | Global Days | 090 - Major Surgery | 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 | Procedure or Service, Multiple Reduction Applies | ASC Payment Indicator | Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 244 - Gastric bypass and volume reduction |
| 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). | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2011-01-01 | Changed | Short description changed. |
| 2006-01-01 | Added | First appearance in code book in 2006. |
Get instant expert-level medical coding assistance.