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Dor Fundoplication??

  1. #1
    Default Dor Fundoplication??
    Medical Coding Books
    Hello, A Dr I code for is stating that a Dor Fundoplication was performed, I tried googling it & everything pointed me to a nissen fundoplication. cpt 43280 , but technically the Dr did not state that, so should i go with a unlisted lap esoph code 43289

  2. #2
    Location
    Fayetteville, NC
    Posts
    300
    Default
    I would query the doctor for more information. Do you have the operative note?

  3. #3
    Default
    Well first he says hes going to do a Myotomy, but I think he changes the plan...

    Heres a summary of it:

    The mytomy was noted to be adequate as there was a patulous opening into the stomach without obstruction across the entire esophagus.Air was sunctioned out of the stomach. The scope was removed under direct vision./ At this point, a Dor anterior fundoplication was performed using 0 silk suture..

    so I am under the impression, a myetomy was going to be done? but then he changed his mind, or did he do both!?

  4. #4
    Default
    i found the code, it is 43279, included the myotomy & fundoplasty!!!

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