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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Article Overview
This June 2015 CPT Assistant Q&A article addresses digestive system surgery coding questions for the CPT code set. It discusses a fundoplication revision scenario, payer policy considerations related to modifier use, and a separate colonoscopy-related CPT 2015 coding update. The article is relevant to professional coders, billers, and compliance staff working with gastroenterology and surgical services.
Why This Topic Matters
It helps readers understand how a CPT coding question is discussed in the context of digestive system surgery, CPT revisions, and modifier considerations that may vary by payer. The article is useful for anyone reviewing current coding references for endoscopic and laparoscopic procedures.
Article Sections
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June 2015 page 10a
Introductory journal metadata and placement information for the Q&A content.
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Surgery: Digestive System
A set of coding questions and answers focused on digestive system surgical procedures and related CPT guidance.
What You Will Learn
- How the article frames a fundoplication revision coding question
- How modifier-related guidance is presented in a surgical coding context
- How a colonoscopy-related CPT revision is discussed in relation to polypectomy coding
- How the article situates payer policy considerations within CPT guidance
Who Should Read This
- Professional medical coders
- Medical billers
- Compliance staff
- Gastroenterology coding specialists
- Surgical coding specialists
Codes Discussed
Modifiers Discussed
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