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tci General Surgery Coding Alert - 2013 Issue 4
Reader Question: Mesh Placement May Equal More Pay
Question: We recently had a case in which our surgeon used mesh reinforcement with laparoscopic fundoplication — can we code the mesh? Tennessee Subscriber Answer: CPT® does not contain a code to describe separate placement of mesh along with laparoscopic fundoplasty. If the mesh placement was conducted for hernia repair along with fundoplasty, you can use 43282 (Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh). If the mesh placement was carried out only to reinforce the fundoplication, however you will have to report 43280 (Laparoscopy, surgical, esophagogastric fundoplasty [e.g., Nissen, Toupet procedures])...
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