April 2019 page 11
Surgery: Digestive System
Question: What is the appropriate CPT code to report the placement of an esophageal sphincter augmentation device (eg, magnetic band) when a hiatal hernia repair is also performed?
Answer: Report code 43284, Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed, for the entirety of the work described. When CPT code 43284 was created, the procedure was described for use only in patients with small hiatal hernias less than 3 cm because the literature supported the use of the device only in these...
Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This April 2019 Surgery: Digestive System Q&A from CPT Assistant addresses a coding question in the gastrointestinal surgery area. It explains the article’s scope at a high level, including the CPT perspective, the surgical context, and the rationale behind why this topic matters for coders working with related laparoscopic procedures. The full piece is a short guidance item rather than a long multi-section feature.
Why This Topic Matters
It helps coders and billing staff understand how this digestive surgery topic is framed in CPT Assistant and whether the article is relevant to laparoscopic esophageal and hiatal hernia-related procedures.
What You Will Learn
The article’s CPT-based focus within digestive system surgery.
How the question is framed around a laparoscopic esophageal sphincter augmentation procedure in the context of hiatal hernia repair.
Why the topic is relevant to coding interpretation for related surgical services.
The general type of guidance presented in a short Q&A format.
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