Cpt Code For Incarcerated Inguinal Hernia Repair

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. 43566 herniorrhaphy recurrent incarcerated. As per the above presented documentation medicare will pay for only one hernia repair per incision.

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A hernia continue reading hernia repair coding.

Cpt code for incarcerated inguinal hernia repair. Hernia repairs are a procedure that all general surgery coders will encounter many times in their career. If you haven t checked out the previous article i encourage you to continue reading hernia repair coding part 2. Understanding what a hernia is and the different types of repairs that may be performed will help you ask the right questions to find the keys in your operative report and code this commonly performed procedure correctly. Some hernia repair codes are based on the age of the patient and some are based on the clinical presentation reducible versus incarcerated or strangulated.

For inguinal hernia repair cpt code 49505 the surgeon may use an ilioinguinal or iliohypogastric nerve block cpt 64425. The last update in hernia coding was in 2009. Hernia repair codes 49491 49651 are unilateral procedures. If you are new to general surgery coding read on.

53 00 unilateral repair of inguinal hernia not otherwise specified 350 352 987 989 53 01 other and open repair of direct inguinal hernia 350 352 987 989 53 03 other and open repair of direct inguinal hernia with graft or prosthesis 350 352 987 989 53 04 other and open repair of indirect inguinal hernia with graft or prosthesis 350 352 987 989. Reducible separate procedure 49570 5341 j1 2 947 incarcerated or strangulated 49572 5341 j1 2 947. If the surgeon believes the hernia repair was unusually complex and added significantly to the overall procedure then modifier 22 increased procedural services can be appended to the hernia repair code. 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.

So if you are an experienced general surgery coder you can skip this article. Today s article is a continuation of our previous article about hernia repair coding. Repair epigastric hernia eg preperitoneal fat. If hernia repair is unilateral use modifier rt or lt to indicate the site.

Use of nerve block anesthesia. A complex procedure such as the repair of a recurrent incarcerated hernia is coded as follows. 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.