Laparoscopic Nissen Fundoplasty (December 2002)

December 2002 pages 1-3 Laparoscopic Nissen Fundoplasty Figure 1Figure 2 Laparoscopic Nissen fundoplasty is a procedure most commonly used to treat gastroesophageal reflux disease (GERD). First performed in 1991, it is now widely used throughout the world because of its effectiveness and low morbidity. Like the comparable, but higher morbidity, open procedure, laparoscopic Nissen fundoplasty is accomplished by loosely wrapping and then suturing the fundus of the stomach around the entire circumference of the lower esophagus at the esophagogastric junction. The effect is to strengthen and lengthen a poorly functioning lower esophageal sphincter (LES), which is a leading cause...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains laparoscopic Nissen fundoplasty in the context of gastroesophageal reflux disease and related upper GI anatomy. It is aimed at coding professionals and clinicians who need a better understanding of the procedure, its clinical indications, and the CPT framework referenced in the discussion. The piece includes an overview of the operation, the anatomic structures involved, and a step-by-step clinical vignette that supports procedure recognition.

Why This Topic Matters

Understanding this procedure and its coding context helps readers correctly recognize the service being performed and relate it to the appropriate CPT family of laparoscopic esophagogastric fundoplasty procedures.

Article Sections

  1. December 2002 pages 1-3

    Introductory material and publication context for the article.

  2. Indications

    Broad clinical reasons the procedure may be considered.

  3. Anatomy

    Overview of the upper digestive tract anatomy relevant to the procedure.

  4. Clinical Vignette

    A procedural walkthrough describing operative setup and major surgical steps.

What You Will Learn

  • How laparoscopic fundoplasty is discussed in relation to reflux disease
  • Which general clinical scenarios are associated with the procedure
  • The upper gastrointestinal anatomy relevant to the operation
  • How the operative sequence is presented in a clinical vignette
  • The CPT framework referenced for laparoscopic esophagogastric fundoplasty

Who Should Read This

  • Medical coders
  • Coding auditors
  • Physician advisors
  • Gastroenterology specialists
  • General surgeons

Codes Discussed


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