AMA CPT® Assistant - 2019 Issue 4 (April)

Surgery: Digestive System (Q&A) (April 2019)

April 2019 page 11 Surgery: Digestive System Question: What is the appropriate CPT code to report the placement of an esophageal sphincter augmentation device (eg, magnetic band) when a hiatal hernia repair is also performed? Answer: Report code 43284, Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed, for the entirety of the work described. When CPT code 43284 was created, the procedure was described for use only in patients with small hiatal hernias less than 3 cm because the literature supported the use of the device only in these...

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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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