Results 1 to 3 of 3

Thread: Peterson Defect/More Hernia Stuff

  1. #1

    Default Peterson Defect/More Hernia Stuff

    Promo: Code Books
    Hi All,

    I hope someone has info on this for me. I am looking for a cpt code (2008) for a laparoscopic Peterson Defect repair. My research tells me a Peterson Defect is a hernia of the biliary limb in post-gastric bypass patients. Would I code this as a ventral hernia repair? I'm at a loss.

    Truncated op report: "The patient had an antecolic
    Roux limb with an obvious Peterson defect. Her biliary limb was in this
    defect. We then reduced the patient's biliary limb from her Peterson
    defect, which revealed no obvious necrosis of her small bowel. Further
    inspection revealed that the patient's jejunojejunostomy also had an
    internal hernia defect. We then obtained an 0 Ti-Cron suture, then
    closed the patient's Peterson defect from the patient's Roux limb
    mesentery to the mesentery of the patient's transverse colon. We also
    pexed the patient's small bowel from the mesentery of the Roux limb to
    the mesentery of her transverse colon. After this was tied down, we
    then closed the patient's jejunojejunostomy internal hernia defect again
    with an 0 Ti-Cron suture."

    Thanks in advance for your help.

  2. #2

    Default

    I don't know much about hernia repair, but from the op report given, it sounds like the surgeon repaired 2 internal hernias; one in the biliary limb and one in the jejunojejunostomy???

  3. #3
    Join Date
    Apr 2007
    Location
    Indianapolis
    Posts
    30

    Smile

    We use 49329 with the comment Lap repair of Peterson Space

Similar Threads

  1. Multiple hernia repair vs defect
    By Trendale in forum General Surgery
    Replies: 1
    Last Post: 05-26-2016, 09:14 AM
  2. Replies: 0
    Last Post: 05-01-2014, 03:42 PM
  3. Replies: 3
    Last Post: 05-10-2012, 08:08 AM
  4. Cpt for peterson hernia?
    By jettagirlfl in forum General Surgery
    Replies: 1
    Last Post: 11-04-2010, 10:40 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.