AMA CPT® Assistant - 2014 Issue 12 (December)

Surgery: Digestive System (Q&A) (December 2014)

December 2014 page 16a Surgery: Digestive System Question: What is the appropriate code to report for hiatal hernia "repair" (eg, figure of eight suture) at the time of bariatric surgery? Answer: Currently, there is no CPT code to describe repair of the hiatus in conjunction with any of the bariatric procedures. Therefore, the unlisted laparoscopy procedure code for the repair of the hiatus, code 43289, Unlisted laparoscopy procedure, esophagus, should be reported. When reporting an unlisted code to describe a procedure or service, it is necessary to submit supporting documentation (eg, procedure report) along with the claim to provide...

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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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