AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 2; Ask the Editor

Esophageal Lengthening Collis Gastroplasty with Nissen Fundoplication and Hiatal Hernia

The patient had surgery due to symptomatic gastroesophageal reflux and hiatal hernia. The surgeon entered the pleural cavity via thoracotomy, and a large combined sliding and paraesophageal hiatal hernia was identified. The fundus was reduced into the abdomen and sutures were placed; the esophagogastric junction failed to reduce beneath the diaphragmatic hiatus without undue tension. An esophageal lengthening Collis gastroplasty was performed in combination with the Nissen fundoplication. The gastroplasty lengthened the esophageal tube by 5 cm and a 3 cm fundoplication was constructed and secured to the tube. The fundoplication was reduced below the diaphragm and remained without tension; it was secured to the undersurface of the diaphragm with sutures. Sutures were passed through the diaphragm around the circumference of the hiatus and the posterior crural sutures were tied. Would the hernia repair be coded separately or is it inherent to the esophageal lengthening and fundoplication? What are the ICD-10-PCS procedure code assignments?  ...

To read the full article, sign in and subscribe to AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS .


  • The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice
  • Current newsletters added each quarter
  • Full Archives - over 3100 articles
  • ALL years/issues back to 1984 organized by year and issue
  • Includes ICD-10-CM/PCS Articles since 2013
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
  • View all the articles associated with any code, right from the code page!
Access to this feature is available in the following products:
  • AHA's Coding Clinic® - ICD-10-CM/PCS +Archives

free demo
request yours today
pricing
for any budget
sign IN
welcome back!

Thank you for choosing Find-A-Code, please Sign In to remove ads.