Lap Gastric Bypass and Lap Hiatal Hernia Repair

kbolton1

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Does anyone bill both Gastric Bypass (43644) and Hiatal Hernia Repair (43281) together? If so, do you use a -52 on the hernia repair?

Thank you,
Kathleen Bolton, CPC
 

lindacoder

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Most payers deny as content however if significant additional time was spent you can always put a 22 modifier and ask for more money - just need to make sure documentation supports this. Also, 43281 is for a paraesophageal hernia, not a hiatal hernia. According to my docs there is a BIG difference between the two with a paraesophageal hernia being more difficult to repair. Hope this helps.
 
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