Choose Either Nissen or Hernia Repair, Not Both

Why This Topic Matters

These procedures are commonly confused in operative coding, and incorrect reporting can lead to denials or miscoding. Understanding the distinction between repair types, operative approaches, and unlisted-code scenarios helps support accurate claim submission.

Article Sections

1. Overview of hiatal hernia repair and fundoplication coding

   Introduces the relationship between hernia repair and fundoplication procedures and explains the general coding context for these operations.

2. Look for an Added Step

   Describes the broader clinical distinction between a basic repair and the more involved fundoplication procedure, along with general commentary on common surgical practice.

3. Pay Attention to Approach for Repair Only

   Covers how the surgical approach affects code selection for hiatal hernia repair and discusses the use of an unlisted procedure code when no specific laparoscopic option is available.

4. Select 39502/39599 for Paraesophageal Hernia

   Addresses coding considerations for paraesophageal hernia repair, including distinctions from regular hiatal hernia repair and the role of laparoscopic cases.