lap band adjustment

when coding a planned procedure lap band adjustment do you also code the office visit as well and what code do you use 43999 or s2083 I know medicare will not pay for the s code?

re: lap band adjustment

Keep in mind that adjustments performed during the bariatric surgery’s global period are included in the surgical fee, so you should not report them separately. You may report adjustments performed after the global postoperative period ends. For those (non-Medicare) payers who accept S codes, you may report S2083 (Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline). Otherwise, you may have to include the service in the appropriate E/M code, depending on payer preference.