Practice Quiz

Medical Coding

Category - 40,000 Series

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A physician performed a thoracoabdominal diaphragmatic hernia repair on 45-year-old male patient with the implantation of prosthetic mesh for support. What is the correct code for this procedure?
  1. 39531
  2. 39530
  3. 43336
  4. 43337
Explanation
Answer: D - The correct code for this procedure is 43337 (Repair, Paraesophageal Hiatal Hernia, via Thoracoabdominal Incision, Except Neonatal; with Implantation of Mesh or Other Prosthesis). Code 39531 was deleted and replaced with code 43337, as indicated by the notes within the mediastinum and diaphragm section. Code 43336 is inappropriate because it does not take into account the implantation of mesh, while code 43337 does.
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