Cpt Code For Bilateral Inguinal Hernia Repair Laparoscopic

The open hernia repair codes are found in the range of codes 49491 49611. Laparoscopic hernia repair was developed as a technique long after open hernia repair. In 1994 when codes 49650 and 49651 were created very few laparoscopic inguinal hernia repairs were performed for incarcerated hernias.

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Cpt code 49659 unlisted laparoscopy procedure hernioplasty herniorrhaphy herniotomy is reported when a cpt code does not exist for the type of repair performed.

Cpt code for bilateral inguinal hernia repair laparoscopic. Since the femoral hernia is being laparoscopically repaired you do not need to consider whether the. Categories medical coding news resources tags cpt hcpcs hernia icd 10 medical coding ms drg. Hernia repair codes 49491 49651 are unilateral procedures. The answer depends on whether your physician is repairing an initial or recurrent inguinal hernia.

If hernia repair is unilateral use modifier rt or lt to indicate the site. We see from the cpt description that this code is appropriate for a laparoscopic approach for an inguinal hernia and for an initial repair. With all the complexities involved the support of a reliable and experienced medical coding service provider can be useful for reporting hernia surgical repair procedure correctly. 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.

Login to read the rest of. What cpt codes should i use to report a laparoscopic bilateral inguinal hernia repair and a right sided femoral hernia repair also done laparoscopically. For inguinal hernia repair cpt code 49505 the surgeon may use an ilioinguinal or iliohypogastric nerve block cpt 64425. In this case the nerve block is not reported separately and is included in the surgical procedure.

The laparoscopic codes are found in the cpt range of codes 49650 49657. Repair initial inguinal hernia. Notice that the concept of reducible or incarcerated and the patient s age is not addressed in the laparoscopic cpt codes for inguinal. The 1994 cpt code set added only two codes for laparoscopic hernia repair 49650 and 49651.

53 15 other and open bilateral repair of indirect inguinal hernia with graft or prosthesis 350 352 987 989 53 16 other and open bilateral repair of inguinal hernia one direct and one indirect 350 352 987 989 with graft or prosthesis 53 17 bilateral inguinal hernia repair with graft or prosthesis not otherwise specified 350 352 987 989.