tci General Surgery Coding Alert - 2009 Issue 2

Choose Either Nissen or Hernia Repair, Not Both

Look to -unlisted- code for laparoscopic hiatal hernia repairs. You should never report hiatal hernia repair and Nissen fundoplication together or you-ll face miscoding denials. Instead, you will bundle the hernia repair to the same-session Nissen procedure. Read on for expert advice on the specifics of coding for these procedures. Look for an Added Step Most typically, you-ll find that your general surgeon will perform a Nissen fundoplication rather than a less-involved hiatal hernia repair. What to look for: During both hernia repair and fundoplication, the surgeon moves the stomach back down into the abdomen and sutures the defect...

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