CPT^® 43280, Under Laparoscopic Procedures on the Esophagus

The Current Procedural Terminology (CPT^®) code 43280 as maintained by American Medical Association, is a medical procedural code under the range - Laparoscopic Procedures on the Esophagus.

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Summary

The provider performs laparoscopic esophagogastric fundoplasty, wrapping the upper part of the stomach around the lower part of the esophagus. Providers may choose this procedure for patients with gastroesophageal reflux.

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Hiatal Hernia repair and LINX procedure 43280 43281 43284 hiatal hernia linx

Any guidance would be GREATLY appreciated! We have surgeons who occasionally perform HH repairs along with LINX placement. We had been instructed by their main office to bill for the 43280/43281 HH re... [ Read More ]

paraesophageal hernia with biologic mesh 43280 vs 43282

Can you post the body of the operative report without patient details for a complete review? It is possible the surgeon did not describe the dissection of the hernia sac in detail leading to the confu... [ Read More ]

paraesophageal hernia with biologic mesh 43280 vs 43282

I am trying to find information on the specifics for these two CPT. I have a paraoesophageal hernia with biologic mesh repair, but the techniques was the surgeon just sutured to repair and did not dis... [ Read More ]

Laparoscopic hiatal hernia

[LEFT]We use unlisted code 49659 (Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy) to represent the laparoscopic hiatal hernia repair. I understand the code indicated above i... [ Read More ]

Coding help

Can someone please confirm if the two codes below are appropriate to bill for the attached OP report. Is the unlisted code billed appropriately? If so what code can I use for pricing comparison? Is th... [ Read More ]

Does Operative note support a 43280?

I submitted a claim for the note below for payment of 43280-22 and 49560. The payer denied the operative note below payment for a 43280-22 and considered the 49560 a bundled service to the line they ... [ Read More ]

Modifier suggestion

43281 & 43280 are [B]not[/B] billable together nor do they allow a modifier to break them apart. 43775 & 43280 are [B]not[/B] billable together nor do they allow a modifier to break them apart. 43775 ... [ Read More ]

Modifier suggestion

My question is we are trying to bill procedure code 43281 for Laparoscopic Procedures on the Esophagus with 43775 for Laparoscopy Bariatric Surgery and or sometimes 43280 for Hiatal Hernia Repair. We ... [ Read More ]

Bariatric surgery w/ hiatal hernia

Whoo boy! This brings back some traumatic memories. I spent the better part of last year researching this and going back and forth with our Bariatric Physicians. Their rationale is that it is consi... [ Read More ]

Morgagni herina

Its classified as a Diaphragmatic hernia. Per CPT book For laparoscopic repair of diaphragmatic [esophageal hiatal] hernias and fundoplication, see 43280, 43281, 43282). The only other codes are for o... [ Read More ]

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