Need help choosing the right code?
Ask CasePilot about procedures, modifiers, bundling, and coding guidance.
Try CasePilot© Copyright 2026 American Medical Association. All rights reserved.
A laparoscopic revision of an adjustable gastric restrictive device, specifically focusing on the gastric band component, is described by CPT® Code 43771. This procedure is typically indicated when complications arise, such as slippage of the gastric band, which can affect its functionality and the patient's weight loss journey. The gastric band is designed with a locking mechanism that allows for adjustments; when slippage occurs, the band can be unlocked and repositioned to restore its intended function. The procedure begins with the insertion of a Veress needle to insufflate the abdomen, creating a working space for the laparoscopic instruments. Following this, trocars are introduced to facilitate the placement of laparoscopic tools necessary for the procedure. A nasogastric tube is also placed to decompress the stomach, ensuring that the surgical field is clear and manageable. The surgical team then dissects the gastric band free from surrounding tissues, unlocks it, and repositions it as needed. This procedure is distinct from other related codes, such as CPT® 43772, which involves the removal of the gastric band without replacing it, and CPT® 43773, which includes the removal and replacement of a defective gastric band. The careful execution of this laparoscopic revision is crucial for maintaining the effectiveness of the adjustable gastric restrictive device and supporting the patient's weight management goals.
© Copyright 2026 Coding Ahead. All rights reserved.
The laparoscopic revision of an adjustable gastric restrictive device, as indicated by CPT® Code 43771, is performed under specific circumstances related to the functionality of the gastric band. The primary indications for this procedure include:
The procedure for the laparoscopic revision of the gastric band component involves several critical steps, each designed to ensure the effective repositioning of the device:
After the laparoscopic revision of the gastric band component, patients can expect specific post-procedure care and considerations. Monitoring for any signs of complications, such as infection or improper band placement, is essential. Patients may experience some discomfort and will be advised on dietary modifications as they recover. Follow-up appointments are crucial for assessing the effectiveness of the band adjustment and for any necessary postoperative adjustments, which are typically performed in the radiology department. The overall recovery time may vary based on individual patient factors and the complexity of the procedure.
| Short Descr | LAP REVISE GASTR ADJ DEVICE | Medium Descr | LAPS GASTRIC RESTRICTIVE PX REVISION DEVICE | Long Descr | Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device 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 | 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 | 244 - Gastric bypass and volume reduction |
This is a primary code that can be used with these additional add-on codes.
| 49327 | Addon Code MPFS Status: Active Code APC N ASC N1 Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imaging guidance, if performed, single or multiple (List separately in addition to code for primary procedure) |
| 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). | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 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). | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | 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 | GZ | Item or service expected to be denied as not reasonable and necessary |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2008-01-01 | Changed | Code description changed. |
| 2006-01-01 | Added | First appearance in code book in 2006. |
Get instant expert-level medical coding assistance.