CPT® Code 43888

The CPT® Code 43888 refers to a gastric restrictive procedure that is performed through an open surgical approach, specifically focusing on the removal and replacement of the subcutaneous port component only. This procedure is typically indicated when the existing port, which is a crucial component of a gastric banding system, is malfunctioning and cannot be repaired. The process begins with making an incision over the access port, allowing the surgeon to access the subcutaneous fat and the capsule surrounding the port. The port is then carefully exposed and inspected to assess its condition. If the port is found to be defective, it is removed from the abdominal wall, and the access tubing that connects the port to the gastric band is severed. A new access port is then introduced, connected to the existing tubing, and secured in place with sutures to the abdominal wall fascia. To ensure proper functionality, the new port is tested by injecting saline into the gastric band, which tightens it to the desired level. Finally, the surgical incisions are closed, completing the procedure. This operation is essential for maintaining the effectiveness of gastric banding in patients who rely on this method for weight management.