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 sutures to the diaphragm. Is it appropriate to report code 43282 , Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh, in addition to the bariatric surgery code? ...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains coding guidance for a laparoscopic paraesophageal hernia repair performed in conjunction with bariatric surgery. It is aimed at coding professionals who need to understand when the article’s discussed procedure code may be considered alongside bariatric procedure coding and the general clinical scenario involved.

Why This Topic Matters

Accurate reporting of combined surgical services affects coding consistency and claim review for bariatric cases involving a paraesophageal hernia. The article helps readers understand the broader coding context and the type of guidance provided for these combined procedures.

Codes Discussed

• CPT: 43282

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