AMA CPT® Assistant - 2015 Issue 6 (June)

Surgery: Digestive System (Q&A) (June 2015)

June 2015 page 10a Surgery: Digestive System Question: What is the appropriate CPT code to report the removal of an existing Nissen fundoplication in order to perform a laparoscopic esophagogastric fundoplasty procedure? Answer: Currently, there is no specific code in the CPT code set to report the removalof an existing Nissen fundoplication. For revision fundoplication, it may be appropriate to append modifier 22, Increased Procedural Services,to the appropriate code for the laparoscopic fundoplication procedure. It is important to note that third-party payers have their own policies regarding the use of modifiers, which may differ from CPT coding guidelines...

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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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