I have been using correct coding for years for labs and visits. They just don't point to my WLS. It won't cover anything whatsoever.
But most of the labs are justifiable with codes that point to perfectly valid factors. Mine run nearly $2000 for all 14 vials, to test everything. There are maybe 20 codes your PCP can use that are legal and morally fine.
BTW, when I was faced with an ins that did cover and needed a surgical repair, my ins had a 30 mile limit! So, as long as my local doc would accept payment "as if" in network, my ins would pay that higher rate. The next surgeon over was 60 mi. My doc agreed to act "as if" and actually got paid more than he would have with most local insurances! LOL For 3 yrs, we had fabulous ins but it was out of state with few network providers in state. Unfortunately, that insurance ended. Bummer.
So, we're back to our local ins for small companies that pays pretty well on everything except WLS (not one slim penny) and it's kinda chintzy on phys therapy.
RNY, distal, 10/5/94
P.S. My year + long absence has NOTHING to do with my WLS, or my type of WLS. See my profile.