tci Part B Insider - 2013 Issue 17

Part B Coding Coach: Eliminate Hiatal Hernia Confusion With 2 Quick Cases

Save paraesophageal codes for stomach, other herniation. Don’t be fooled — the vast majority of surgical hiatal hernia repairs don’t require you to use one of six CPT® codes that include “repair, … hiatal hernia” in the code definition. If you find that fact surprising, you need to study the following two surgical cases to guarantee that you know to how to choose the right hiatal hernia repair code — and get the right pay — for your surgeon’s work. Case 1: Sliding Hiatal Hernia Repair The surgeon performs a laparotomy to expose the hiatus...

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