only in open hernia repair codes to recognize the
Various ways your surgeon can perform the esophagogastric fundoplast - open or laparoscopic, across the chest and abdominal wall, with or minus hernia repair with mesh or minus. Here are the factors you will need to consider when attempting to select the appropriate code (s) from among nine choices in the CPT 2011th
Take a look at these four methods of advice for paraesophageal hiatalhernia repair and fundoplication coding for this year.
Tip 1: Know the pathophysiology
When a patient is said to have herniated, it typically means that part of the stomach is herniated through the opening in the diaphragm [Esophageal hiatus] in the chest and is usually associated with esophageal reflux disease.
Hernia repair typically involves surgery reducing the stomach back into the abdomen and stitching enlarged diaphragmatic hiatus. During the fundoplication procedure, say for example, Nissen, the surgeon wraps part fundus (top) of the stomach around the esophagus and sutured in place. This creates a 'valve', which allows food to go to the stomach from the esophagus, however, prevents reflux back into the esophagus.
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