Laparoscopic Nissen Fundoplication and Diaphragmatic Hernia Repair

A 57-year-old female presented with a symptomatic midline diaphragm (paraesophageal) hernia and intractable gastroesophageal reflux. She underwent laparoscopic diaphragmatic hernia repair and Nissen fundoplication. During surgery, the hernia sac was separated from the diaphragm and the redundant sac was excised. The fundus of the stomach was brought around the esophagus and a loose Nissen fundoplication was performed. What are the correct ICD-10-PCS codes for laparoscopic paraesophageal hernia repair with Nissen fundoplication? ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews a laparoscopic approach to paraesophageal diaphragmatic hernia repair performed with Nissen fundoplication and discusses how the procedure is reported in ICD-10-PCS. It is relevant to inpatient coders, CDI specialists, and clinicians who need to understand how operative documentation for this type of upper gastrointestinal surgery is translated into procedure codes.

Why This Topic Matters

Procedure documentation for diaphragmatic hernia repair and fundoplication can affect accurate ICD-10-PCS reporting, case mix, and inpatient coding consistency. The article helps readers understand the scope of the coding question and the type of operative details that matter in this setting.

What You Will Learn

  • The clinical scenario involving paraesophageal diaphragmatic hernia repair with fundoplication
  • How the article frames the ICD-10-PCS coding question for this operative encounter
  • What operative documentation details are highlighted as relevant to coding this type of procedure
  • How laparoscopic upper gastrointestinal surgery is discussed in the context of inpatient procedure coding

Who Should Read This

  • Inpatient coders
  • Coding educators
  • Clinical documentation integrity specialists
  • General surgeons
  • Gastroenterology surgical staff

Codes Discussed


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