Cpt Code For Laparoscopic Incarcerated Inguinal Hernia Repair

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 laparoscopic incarcerated inguinal hernia repair. Repair initial incisional or ventral hernia. Do not report 49568 with laparoscopic ventral incisional hernia repair. 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. If implantation of mesh is performed with other hernia repairs inguinal umbilical femoral laparoscopic do not report 49568 because mesh placement is included.

Login to read the rest of. Hernia repair coverage coding and reimbursement overview hospital outpatient asc. Cpt code 49659 unlisted laparoscopy procedure hernioplasty herniorrhaphy herniotomy is reported when a cpt code does not exist for the type of repair performed. The decision to perform a laparoscopic trans abdominal preperitoneal tapp repair was facilitated by the patient having previous open hernia surgery.

The open hernia repair codes are found in the range of codes 49491 49611. Reducible 49560 1 343 incarcerated or strangulated 49561 1 343. We see from the cpt description that this code is appropriate for a laparoscopic approach for an inguinal hernia and for an initial repair. Hernia repairs are a procedure that all general surgery coders will encounter many times in their career.

43566 herniorrhaphy recurrent incarcerated. In 1994 when codes 49650 and 49651 were created very few laparoscopic inguinal hernia repairs were performed for incarcerated hernias. Use of nerve block anesthesia. Laparoscopic hernia repair was developed as a technique long after open hernia repair.

Repair initial inguinal hernia. Mesh is always a part of laparoscopic repair. The 1994 cpt code set added only two codes for laparoscopic hernia repair 49650 and 49651. For inguinal hernia repair cpt code 49505 the surgeon may use an ilioinguinal or iliohypogastric nerve block cpt 64425.

A complex procedure such as the repair of a recurrent incarcerated hernia is coded as follows. Laparoscopic repair of a femoral hernia is still in its infancy and even though the outcomes are superior to an open repair open surgery remains the standard of care.