AMA CPT® Assistant - 2015 Issue 11 (November)

Coding Brief: Esophagogastric Fundoplasty (November 2015)

November 2015 page 8 Coding Brief: Esophagogastric Fundoplasty Effective with the 2016 CPT® code set, code 43210 has been added to the Esophagogastroduodenoscopy subsection of the CPT code set to describe esophagogastric fundoplasty via a transoral approach. Prior to 2016, code 43499, Unlisted, esophagus, was used to report this procedure. Fundoplasty is a surgical procedure that is performed under general anesthesia in which the upper portion of the stomach is wrapped around the lower end of the esophagus and sutured in place as a treatment for patients with chronic gastroesophageal reflux disease (GERD), who cannot be managed with conventional...

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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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