AMA CPT® Assistant - 2011 Issue 6 (June)
Esophagogastric Fundoplasty (June 2011)
June 2011 pages 8-10 Esophagogastric Fundoplasty Esophagogastric fundoplasty (sometimes referred to as Nissen, Belsey, Toupet, or Dor fundoplication) is a surgery that creates a new junction or valve between the esophagus and the stomach by wrapping the uppermost portion of the stomach (the fundus) around the lower end of the esophagus. It is usually performed either when medical therapy for gastroesophageal reflux disease (GERD) has failed or as one of the key components of repair of paraesophageal hiatal hernia. Esophagogastric fundoplasty may be either a complete (ie, 360 degrees) or a partial encircling of the gastroesophageal junction. The fundoplication...
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Article Overview
This article explains the scope of esophagogastric fundoplasty and summarizes the 2011 CPT updates affecting laparoscopic and open repair approaches. It is aimed at coders, compliance staff, and clinicians who need to understand how the procedure family was organized in the CPT codebook and what new or revised code categories were introduced for that year. The discussion includes procedure background, approach distinctions, add-on coding, and coding notes tied to related hiatal hernia repair services.
Why This Topic Matters
These updates affect how a common anti-reflux and hiatal hernia-related surgery is represented in CPT, making the article useful for accurate code selection, documentation review, and staying current with annual code changes.
Article Sections
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June 2011 pages 8-10
Introductory publication information for the article and its place in the June 2011 issue.
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Esophagogastric Fundoplasty
Overview of the procedure family, common approaches, and the general context for the 2011 coding changes.
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Laparoscopic Esophagogastric Fundoplasty
Discussion of the laparoscopic approach and the associated CPT coding update for 2011.
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Esophagogastric Fundoplasty Open Approach
Discussion of open surgical approaches and the CPT code structure added for 2011.
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New Add-On Codes
Summary of the added reporting structure for esophageal lengthening services and related code updates.
What You Will Learn
- How esophagogastric fundoplasty is categorized in CPT
- What broad coding changes were introduced for 2011
- How the article organizes laparoscopic and open approaches
- What kinds of related add-on service categories are discussed
- Which sources and publication context support the coding discussion
Who Should Read This
- Medical coders
- Coding educators
- Compliance staff
- Physicians documenting digestive surgery
- Revenue cycle professionals
Codes Discussed
Code Ranges Discussed
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