CPT® Code 43887

The CPT® Code 43887 refers to a specific surgical procedure known as a gastric restrictive procedure, which is performed through an open approach. This procedure involves the removal of the subcutaneous port component only, which is a part of the gastric banding system used for weight loss. The subcutaneous port is an access point that allows for adjustments to the gastric band, which is placed around the upper part of the stomach to create a smaller stomach pouch. The procedure is typically indicated when there are complications such as infection at the port site or when the port is no longer functioning properly. During the operation, an incision is made over the access port, and the surrounding subcutaneous fat and capsule are carefully divided to expose the port. The port is then inspected, and if it is determined that it cannot be repaired or is not needed, it is removed. Importantly, the remaining components of the gastric band, including the band itself, are left in place. The procedure concludes with the port site being irrigated and packed with gauze, allowing it to heal naturally without surgical closure, a process known as healing by secondary intention.