Cpt Code For Initial Inguinal Hernia Repair

Repair initial inguinal hernia. A patient has repair of recurrent right inguinal hernia and initial left inguinal hernia with no obstruction or gangrene. Do not append a modifier 50 to a right initial inguinal hernia and a recurrent left inguinal hernia both repaired via the same approach.

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Notice that the concept of reducible or incarcerated and the patient s age is not addressed in the laparoscopic cpt codes for inguinal.

Cpt code for initial inguinal hernia repair. What is the correct coding of a bilateral hernia repair when the left side is an initial repair and the right is a second or recurrent repair. The destruction by electrosurgery of fourteen papilloma lesions in the anal area. 49496 cpt code in category. 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.

Append modifier 50 when appropriate for bilateral hernia repairs via the same approach for the same type of condition e g. In this case the nerve block is not reported separately and is included in the surgical procedure. Repair initial inguinal hernia full term infant younger than age 6 months or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery with or without hydrocelectomy. So i feel it is fair enough to say this is an initial indirect hernia repair and you would assign as per strangulated or not.

Then for the procedure for recurrent inguinal direct hernia repair you can report with another as a second cpt code with reduced service modifier also appending 59 and a vcode with v71 xx plus a detailed report from. The procedure used to develop an artificial opening through the abdominal wall is. Hernia repair codes 49491 49651 are unilateral procedures. 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.

For inguinal hernia repair cpt code 49505 the surgeon may use an ilioinguinal or iliohypogastric nerve block cpt 64425. Bilateral recurrent inguinal hernias bilateral initial hernias. We see from the cpt description that this code is appropriate for a laparoscopic approach for an inguinal hernia and for an initial repair. I believe the correct coding would be 49520 rt repair recurrent inguinal hernia any age.

So 64425 is bundled into 49505. What diagnosis codes would you use. Right side and 49505 lt 51 repair initial inguinal hernia age 5 years or over. If hernia repair is unilateral use modifier rt or lt to indicate the site.

Laparoscopic surgical hernia repair. 550 93 inguinal hernia without mention of obstruction or gangrene nos bilateral recurrent for right 550 92 inguinal hernia without mention of obstruction or gangrene nos bilateral not specified as recurrent for. Surgical repair of reducible inguinal hernia of a 4 month old male initial repair.