Reporting Esophageal Sphincter Augmentation Procedures (August 2017)

August 2017 page 6 Reporting Esophageal Sphincter Augmentation Procedures Prior to 2017, Current Procedural Terminology (CPT®) Category III codes 0392T and 0393T were used to report the laparoscopic insertion and removal of a flexible band of interlinked titanium beads with magnetic cores around the lower esophageal sphincter. For 2017, these codes were deleted from the CPT code set and replaced with Category I codes 43284 and 43285. This article provides an overview of the appropriate reporting of these new surgical procedures. Laparoscopy 43284Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty...

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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 CPT® Assistant article explains the reporting framework for laparoscopic esophageal sphincter augmentation and device removal, with background on the procedure, references to related surgical concepts, and clinical/procedural examples. It is intended for coding professionals who need to understand the scope of the 2017 coding update and the general documentation context surrounding these procedures.

Why This Topic Matters

Changes to procedure coding can affect claim accuracy, code selection, and consistent reporting for minimally invasive anti-reflux surgery. Understanding the article helps coders distinguish this procedure category from related upper gastrointestinal surgeries and recognize the documentation context presented by the AMA.

Article Sections

  1. Laparoscopy

    Introduces the laparoscopic esophageal sphincter augmentation procedures discussed in the article and summarizes the general reporting context for placement and removal.

  2. Clinical Example (43284)

    Presents a clinical scenario illustrating the placement procedure in the setting of chronic reflux symptoms and diagnostic evaluation.

  3. Description of Procedure (43284)

    Provides a procedural walkthrough for the placement service, including the operative setting, anatomy involved, and general surgical steps.

  4. Clinical Example (43285)

    Presents a clinical scenario illustrating later device removal after prior augmentation surgery.

  5. Description of Procedure (43285)

    Provides a procedural walkthrough for the removal service, including the operative setting, anatomy involved, and general surgical steps.

What You Will Learn

  • How the article frames the 2017 CPT update for esophageal sphincter augmentation procedures
  • What general procedural topics are discussed for placement and removal services
  • How the article situates the procedures within broader upper gastrointestinal surgery context
  • What types of clinical and operative examples are included

Who Should Read This

  • Medical coders
  • Coding auditors
  • Revenue cycle staff
  • Physician documentation specialists
  • General surgery coding professionals

Codes Discussed


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