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CPT 43291: Endoscopic Removal of Intragastric Balloon
CPT code 43291 denotes endoscopic removal of an intragastric balloon placed for weight-loss therapy. This code captures a minimally invasive, upper endoscopic procedure in which a flexible endoscope is introduced via the mouth to retrieve a gastric balloon. Nationally, use of intragastric balloons has implications for obesity management, peri-procedural safety, and payer coverage policies.
Key payers covered in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers can expect an overview of clinical context for the procedure, typical sites of service such as ambulatory surgery centers and hospital endoscopy suites, common billing modifiers, and how this service is reported in claims. The publication highlights benchmarks for utilization and coverage considerations, summarizes relevant coding practice points, and identifies where data is not available in the input. The content is designed for coding professionals, policy analysts, and clinical managers seeking a concise reference on billing and operational aspects of endoscopic intragastric balloon removal.
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Billing Code Overview
CPT code 43291 describes removal of an intragastric balloon using a flexible endoscope inserted through the mouth. The procedure is an endoscopic removal of a gastric balloon that was previously placed to assist with weight loss.
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Service type: Endoscopic removal of intragastric balloon
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Typical site of service: Ambulatory surgery center or hospital endoscopy suite