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Nissen fundoplication

Lee Posted Fri 14th of December, 2012 15:45:29 PM

Physician is performing a Roux-en-Y gastric bypass. He indicates that the Nisses fundoplication that was previously performed needs to be undone in order to perform the procedure. If I use a 43289 what procedure could I compare it with?

SuperCoder Answered Mon 17th of December, 2012 12:58:54 PM

Is the procedure performed laparoscopically ?

Open ‘Fundoplication Only’ Earns 43327-43328

If the surgeon performs an open fundoplasty procedure without the hernia repair, you should select one of the following codes:

43327 -- Esophagogastric fundoplasty partial or complete; laparotomy
43328 -- … thoracotomy.

Laparoscopic fundoplasty 43280 (Laparoscopy, surgical, esophagogastric fundoplasty [e.g., Nissen, Toupet procedures]).

Lee Posted Tue 22nd of January, 2013 18:01:53 PM

I'm still not sure if that's the correct code. He is UNDOING the FUNDOPLASTY not performing one. What would be the code for that. Or could it be bundled up in the bypass?

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