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Take down of slipped Nissen fundoplication - can this be billed?

H

hencked

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I have op where the Nissen fundoplication has slipped and the physician takes down the fundoplication and then does a redo fundoplication. It is laparoscopic and code 43280. Does any one know if I can actually bill for the take down portion or is it included? Sometimes the takedown itself takes a lot of extra time and then other cases it does not. So I just want to be sure it is something that is billable. If billable I'm thinking of using unlisted or a 22 modifier.

Any and all help would be greatly appreciated!
 
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