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Transoral Incisionless Fundoplication

Cathy Posted Tue 27th of October, 2015 11:35:33 AM

Hi, we have two physicians working concurrently on one case. The first physician performs a laparoscopic hiatal hernia repair. The second physician performs fundoplication. They are wanting to report their services with 43281-62. However, the second doctor is not performing the fundoplication through the laparoscope; he is performing it through an EGD scope through the esophagus. I think he should be reporting his service with unlisted CPT 43499. What is your advice? Thank you.

SuperCoder Answered Wed 28th of October, 2015 02:56:34 AM

Thanks for your question.

Both surgeons performing different surgeries with different approaches. CPT codes choices are correct. As per guidelines, use modifier 62 with both CPTs.
43281-62 and 43499-62.

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