My surgeon, performed a Laparoscopic Paraesophageal Hernia Repair with Mesh, without Nissen Fundoplication. I am confused as to whether I should use the CPT Code 43282, Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh. Or to use CPT 43289, Unlisted Laparoscopy procedure, esophagus. I have seen places where it says to use the 43282 even though the fundoplasty was not performed and then I’ve seen where it says to use the unlisted code with the description of Laparoscopic Paraesophageal Hernia Repair with Mesh, without fundoplication. Thanks
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Tag Archives: paraesophageal
Cholecystectomy (47562) Inclussive to paraesophageal hernia (43281)?????
I am aware that there are no NCCI edits with codes Cholecystectomy (47562) with paraesophageal hernia (4328: however, the NCCI manual says:
Hepatectomy procedures include removal of the gallbladder based on anatomic considerations and standards of practice. A cholecystectomy CPT code is not separately reportable with a hepatectomy CPT code.
It also says:
A Whipple type pancreatectomy procedure (CPT codes 48150-48154) includes removal of the gallbladder. A Cholecystectomy should not be reported separately.
Wouldn’t it make sense due to anatomical considerations that a cholecystectomy would be inclussive to the esophageal hernia repair? Or can the cholecystectomy be billed separately?
I need documentation and can’t find it.
Thanks