CPT Knowledgebase - Aug 29, 2016

In our practice, a paraesophageal hernia repair is performed in conjunction with laparoscopic adjustable gastric band placement, laparoscopic sleeve gastrectomy, or laparoscopic gastric bypass surgery. For each patient, the physicians perform a paraesophageal hernia repair. They perform a circumferential dissection of the esophagus, proximal stomach, and left and right crura, separation of the hernia sac from the diaphragm, and placement of permanent sutures posterior to the esophagus in the diaphragm to close the paraesophageal hernia defect, insertion of absorbable mesh to reinforce the repair, and gastropexy of the stomach with permanent sutures to the diaphragm. Is it appropriate to report code 43282, Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh, in addition to the bariatric surgery code?

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