tci General Surgery Coding Alert - 2009 Issue 10

Ask Your Surgeon to Clarify Hiatal Hernia Repair Procedures

Hint: General surgeons typically also perform a Nissen procedure. When your surgeon performs a hiatal hernia repair, you could be costing your practice $45 per procedure if you automatically assign a diaphragmatic hernia repair code. Typically, general surgeons also perform a Nissen fundoplication. But watch out: You can't report both procedures during the same session or you'll face denials. Follow this expert advice to properly report these procedures every time. Check Documentation for Nissen Fundoplication "When a patient is described as having a hiatal hernia, it usually means that part of the stomach has herniated through the diaphragm into...

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