tci General Surgery Coding Alert - 2014 Issue 5

Reader Question: Beware Fundoplication Bundles

Question: We had a case where the surgeon had to “redo” an old fundoplication while performing a laparoscopic hiatal hernia repair with placement of Sirgisis mesh. How should we code this, and can we separately report the fundoplication?  SuperCoder.com Subscriber Answer: You should report the surgeon’s work using 43282 (Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh). You can see that the code definition states, “includes fundoplasty, when performed,” so you should not separately bill for the fundoplication. The procedure is included in the 43282 service, whether...

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