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The New 2011 CPT Codes for Paraesophageal Hiatal Hernia Repair Codes
Differs from (transabdominal, thoracotomy and thoracoabdominal incision)
approach. With or Without Implantation of Mesh.
Paraesophageal hiatal hernia occurs when the stomach rotates up through the diaphragm to lie
within the chest beside the esophagus.

There 6 new codes added as part of 2011 CPT Changes for Paraesophageal Hiatal Repair.
These changes differs based on the surgical approach or technique used
(transabdominal/laparotomy, diaphragmatic/thoracotomy/transthroracic, and thoracoabdominal
incision), and also whethere the surgery involved mesh implantation.


For your
Paraesophageal hiatal hernia repair (transabdominal, laparotomy), refer to 43332,
43333

43332 - Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except
neonatal; without implantation of mesh or other prosthesis

43333 -     with implantation of mesh or other prosthesis


For your
(diaphragmatic, thoracotomy, transthoracic) hernia repair look up 43334, 43335

43334 - Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except
neonatal; without implantation of mesh or other prosthesis

43335 -    with implantation of mesh or other prosthesis


For your
Paraesophageal hiatal hernia repair (thoracoabdominal incision)

43336 - Repair, paraesophageal hiatal hernia (including fundoplication), via thoracoabdominal
incision, except neonatal; without implantation of mesh or other prosthesis

43337 - with implantation of mesh or other prosthesis


Another NEW CODE (an add-on code):

+43338 Esophageal lengthening procedure (eg. Collis gastroplasty or wedge gastroplasty).

** Because this is an add on code, it can not be a "stand-alone" code. Use this code in
conjuction with 43332-43337 and 43280)


DISCLAIMER:
CPT IS A TRADEMARK AND OWNED BY THE AMERICAL MEDICAL ASSOCIATION


REFERENCES:
AMA's CPT 2011 Code Book, AMA's 2011 CPT Changes Book, Anatomy and Physiology Book
and a Medical Dictionary.
Repair of Paraesophageal Hiatal Hernia

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