CPT® Code 43282

A paraesophageal hernia is a condition where the stomach's fundus protrudes into the chest cavity while the gastroesophageal junction remains in its normal position. This type of hernia can lead to various complications, including obstruction and strangulation of the stomach. The surgical procedure coded as CPT® 43282 involves a laparoscopic approach to repair this hernia. During the operation, multiple small incisions are made in the upper abdomen to allow for the insertion of trocars, which facilitate the use of specialized instruments, including a laparoscope. The laparoscope provides visualization of the surgical field, enabling the surgeon to perform the repair with precision. The procedure includes the reduction of the stomach back into the abdominal cavity and the repair of the diaphragm, which may involve the implantation of mesh to reinforce the area. Additionally, a fundoplasty may be performed to prevent future reflux, with two common techniques being the Nissen and Toupet fundoplications. The Nissen fundoplication involves a complete wrap of the stomach around the esophagus, while the Toupet fundoplication involves a partial wrap. This surgical intervention aims to alleviate symptoms associated with the hernia and restore normal anatomical function.