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Wiki Lap hiatal hernia repair with falciform graft

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cristendahl

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The surgeon did a laparoscopic hiatal hernia repair, with a fundoplication. Instead of using a pre-packaged mesh, he took the falciform ligament off the abdominal wall and sutured it to the diaphragm repair (using it as a mesh).

Is it ok to use 43282 (lap hiatial hernia repair, with fundoplication, with mesh)?

Or, do I use 43281 (without mesh) and need to add another code? If so, which code is best? I have considered 49326 (laparoscopy with omentopexy), as the concept is similar, however omentum was not used. Or do I need to use an unlisted code, 49329?

Thanks for your help!
 
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