Cpt Code Bilateral Inguinal Hernia Repair

Today s article is a continuation of our previous article about hernia repair coding. Hernia repair codes 49491 49651 are unilateral procedures. Approximately 25 of all men will ever experience an double inguinal hernia.

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It is a very common phenomenon that mainly occurs in men.

Cpt code bilateral inguinal hernia repair. Bilateral inguinal hernia repair cpt code bilateral inguinal hernia repair can be performed bymaking an incision to the groin region. So 64425 is bundled into 49505. The goal of this article is to provide some examples of hernia repair notes and apply the method taught in the first article to determine how to code these examples. Laparoscopic surgical hernia repair.

The incision is made near the abdominal region. For inguinal hernia repair cpt code 49505 the surgeon may use an ilioinguinal or iliohypogastric nerve block cpt 64425. This technique proved to be effective for inguinal hernia and have more aesthetic result when compared to other techniques. In bilateral inguinal hernia the bulging tissues are found on both the inguinal canals.

In this case the nerve block is not reported separately and is included in the surgical procedure. The bilateral inguinal hernia repair was performed by using the single site c da vinci surgical access platform to the abdominal cavity and the placement of clamps. The open hernia repair codes are found in the range of codes 49491 49611. In the case of a bilateral inguinal hernia there are weaknesses on both sides of the lower abdominal wall resulting in bulges in the groin containing part of the peritoneum or abdominal fat.

Cpt code 49659 unlisted laparoscopy procedure hernioplasty herniorrhaphy herniotomy is reported when a cpt code does not exist for the type of repair performed. Login to read the rest of. The cpt code used for this process is 49650. If hernia repair is unilateral use modifier rt or lt to indicate the site.

The laparoscopic codes are found in the cpt range of codes 49650 49657. If you haven t checked out the previous article i encourage you to continue reading hernia repair coding part 2. If performed bilaterally append modifier 50 bilateral procedure to the appropriate code s rather than report two units with modifiers rt right side and lt left side appended. Repair initial inguinal hernia preterm infant younger than 37 weeks gestation at birth performed from birth up to 50 weeks postconception age with or without hydrocelectomy.