Gastric volvulus with ischemic injury to greater curvature of stomach

Procedure: Paraesophageal hernia repair, Sleeve Gastrectomy, Gastropexy
DX: Gastric volvulus with ischemic injury to greater curvature of stomach. K56.2 K31.9

I originally billed 43999 because a Sleeve Gastrectomy can only be for obesity, and 43333 for the hernia repair. 43999 was denied because of the procedure itself. I refiled as 43775, which was because the dx is not covered.

Is anyone able to give me direction on what I need to do?

Comments

  • Was the paraesophageal hernia incarcerated and that is why the stomach has a ischemic injury? If so do the 43281 or 43282 depended on if mesh
    was in the repair. Gastric Sleeve is included in the repair.

    This is going on just the information you provided
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