AMA CPT® Assistant - 2018 Issue 9 (September)

Surgery: Digestive System (Q&A) (September 2018)

September 2018 page 14b Surgery: Digestive System Question: What is the appropriate CPT code to report for the laparoscopic placement of an esophageal sphincter augmentation device when a hiatal hernia repair is also performed? Answer: Code 43284, Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed, should be reported. Code 43284 includes the work of hiatal hernia (cruroplasty repair); therefore, code 43281, Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh, should not be reported separately. Surgery: Digestive System. CPT® Assistant. 2018; September 2018 page...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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