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Thread: Roux en y; laparascopic hiatal hernia; upper gi endoscopy

  1. #1

    Default Roux en y; laparascopic hiatal hernia; upper gi endoscopy

    AAPC: Back to School
    Please provide advice on coding the 3 procedures listed, when performed simultaneously. It doesn't feel to me that the hiatal hernia repair would be reimbursed.


  2. #2
    Join Date
    Apr 2007


    You would code:

    I code for a Bariatric Surgeon in Central Ky.
    We get reimbursed for all three, how much depends on the carrier.

  3. #3

    Default laparascopic hiatal hernia

    But 39502 59 indicated transabdominal approach vs laparascopic.....

  4. #4
    Join Date
    Apr 2007


    Our Surgeon goes through the abdomin laparoscopicly to do the Roux-en-Y and does the Hiatal Hernia repair while he is in there.

    trans=travel abdomin=abdomin al=process of

    39502 doesn't say "open" it just says transabdominal.

    He then does the EGD to ensure everything looks like it should from the
    inside of the abdomin after the Roux-en-Y.

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