AMA CPT® Assistant - 2016 Issue 8 (August)

Surgery: Digestive System (Q&A) (August 2016)

August 2016 page 9b Surgery: Digestive System Question: In our practice, a paraesophageal hernia repair is performed in conjunction with laparoscopic adjustable gastric band placement, laparoscopic sleeve gastrectomy, or laparoscopic gastric bypass surgery. For each patient, the physicians perform a paraesophageal hernia repair. They perform a circumferential dissection of the esophagus, proximal stomach, and left and right crura, separation of the hernia sac from the diaphragm, and placement of permanent sutures posterior to the esophagus in the diaphragm to close the paraesophageal hernia defect, insertion of absorbable mesh to reinforce the repair, and gastropexy of the stomach with permanent...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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