Lee Posted Wed 03rd of October, 2012 13:10:56 PM
Need a cpt code for a Bochdalek hernia
SuperCoder Answered Wed 03rd of October, 2012 14:21:05 PM
There is no code for this procedure. This service is included in a laparoscopic Nissen procedure (43280, laparoscopy, surgical, esophagogastric fundoplasty [e.g., Nissen, Toupet procedures]).
In the rare event that a diaphragmatic hernia is repaired without a lap Nissen, an unlisted laparoscopy code such as 43289 (unlisted laparoscopy procedure, esophagus) or 49659 (unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy) should be used. Because unlisted codes spur automatic review, clear and accurate documentation of the procedure should accompany the claim.