AMA CPT® Assistant - 2018 Issue 11 (November)

Surgery: Digestive System (Q&A) (November 2018)

November 2018 page 11b Surgery: Digestive System Question: The patient presents with dysphagia, reflux, and intermittent chest pain. A work-up including upper gastrointestinal series, endoscopy, and CT scan of the chest and abdomen demonstrates a Type III paraesophageal hernia with greater than 50% of the stomach present in the chest. The patient undergoes laparoscopic repair without implantation of mesh. What is the appropriate code to report? Answer: Code 43281, Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh, should be reported. Question: A patient presents for duodenal resection with side-to-side duodenojejunostomy. What code would...

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