2025 CPT code 43659
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Digestive System Feed
Unlisted laparoscopy procedure, stomach.
Modifiers may be applicable. Refer to CPT guidelines for modifier usage.
Medical necessity must be clearly documented. The reason why an existing code could not be used should be clearly justified.
The provider performs a laparoscopic procedure on the stomach not represented by a standard CPT code.
In simple words: This code is for a laparoscopic stomach procedure that doesn't have its own specific code. The surgeon looks inside your stomach with a small camera and tools through tiny cuts. If the procedure is new or unusual, this code is used.
This code is used to report a new or unusual laparoscopic procedure on the stomach for which there is no specific code available.It is essential to ensure proper documentation before billing for this unlisted procedure, including a detailed operative report.
Example 1: A surgeon performs a laparoscopic repair of a perforated gastric ulcer using a novel technique not described by an existing CPT code., A patient undergoes a laparoscopic removal of a foreign body from the stomach, a procedure not covered by a specific CPT code., A surgeon performs a complex laparoscopic revision of a previous gastric bypass surgery using an innovative approach for which no existing CPT code exists.
Operative report with detailed description of the procedure performed, including instruments used, approach, and any unusual circumstances. Justification for use of the unlisted code, including why existing codes are not applicable. Supporting documentation of medical necessity.
- Revenue Code: P5E (AMBULATORY PROCEDURES - OTHER)
- Specialties:Surgical Gastroenterology, General Surgery
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient, Inpatient Hospital