tci Part B Insider - 2013 Issue 17

Breakdown Sliding vs. Paraesophageal Hiatal Hernia

What passes through hiatus is key. You can’t pick the proper hernia repair CPT® code if you don’t understand the different hiatal hernia types. That’s why we’ve put together this hiatal hernia briefing for your review. All hiatal hernias involve herniation of elements of the abdominal cavity through the esophageal hiatus of the diaphragm. These elements migrate into the mediastinum and cause various symptoms and pathologies. But it’s an understanding of what passes through the hiatus — not the pathology it causes — that provides the basis of classifying hiatal hernias. Focus on &lsquo...

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