Large Hiatal Hernia

Clinical Criteria & Documentation Requirements

• Required documentation elements include patient history, symptom description, diagnostic test results, and treatment plan.
• Specific coding terminology includes 'hiatal hernia', 'gastroesophageal reflux disease (GERD)', and 'esophageal obstruction'.
• Documentation examples: 'Patient presents with symptoms consistent with large hiatal hernia, confirmed by EGD showing significant displacement of the gastroesophageal junction.'

Primary Specialty