September 2018 page 14b
Surgery: Digestive System
Question: What is the appropriate CPT code to report for the laparoscopic placement of an esophageal sphincter augmentation device when a hiatal hernia repair is also performed?
Answer: Code 43284, Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed, should be reported. Code 43284 includes the work of hiatal hernia (cruroplasty repair); therefore, code 43281, Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh, should not be reported separately.
Surgery: Digestive System. CPT® Assistant. 2018; September 2018 page...
Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This article is a concise CPT Assistant question-and-answer piece for surgical digestive system coding. It focuses on how a laparoscopic esophageal sphincter augmentation procedure is categorized when a related hiatal hernia repair is also performed, and it is useful for surgery coders, billers, and compliance staff reviewing upper gastrointestinal laparoscopic procedures.
Why This Topic Matters
It helps readers identify the relevant CPT reporting approach for a combined laparoscopic upper digestive system surgical scenario and understand the scope of related bundled services discussed in the Q&A format.
Article Sections
September 2018 page 14b
A brief CPT Assistant Q&A from the digestive system surgery section, presented as a focused coding inquiry and response for a laparoscopic upper gastrointestinal procedure.
What You Will Learn
How this CPT Assistant Q&A is framed within digestive system surgery coding
The general topic area addressed by the article
The type of combined laparoscopic procedure scenario discussed
How the article presents guidance on related surgical services
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