Cpt Code For Laparoscopic Right Inguinal Hernia Repair With Mesh

The laparoscopic codes are found in the cpt range of codes 49650 49657. 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. Laparoscopic hernia repair was developed as a technique long after open hernia repair.

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In 1994 when codes 49650 and 49651 were created very few laparoscopic inguinal hernia repairs were performed for incarcerated hernias.

Cpt code for laparoscopic right inguinal hernia repair with mesh. Inguinal hernia repaired via an open approach with mesh 0yu60jz inguinal hernia repaired via an open approach without supplement 0yq60zz. Login to read the rest of. The open hernia repair codes are found in the range of codes 49491 49611. For inguinal hernia repair cpt code 49505 the surgeon may use an ilioinguinal or iliohypogastric nerve block cpt 64425.

Hernia repair codes 49491 49651 are unilateral procedures. A laparoscopic inguinal hernia rupture in the abdominal wall repair is a routine surgery and may take up to two hours. The patient is placed under general anesthesia during the procedure. Cpt lists only three codes for laparoscopic hernia repair including two codes for inguinal hernia repair 49650 any initial repair and 49561 all recurrent repairs and a single unlisted procedure code 49659 to cover laparoscopic repairs of all other hernia types regardless of patient age or initial recurrent reducible strangulated status.

A coding professional will also have to distinguish whether the procedure was done on the left side right side or bilaterally. 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 1994 cpt code set added only two codes for laparoscopic hernia repair 49650 and 49651. In this case the nerve block is not reported separately and is included in the surgical procedure.

If hernia repair is unilateral use modifier rt or lt to indicate the site. 49492 repair initial inguinal hernia preterm infant younger than 37 weeks gestation at birth performed from birth up to 50 weeks post conception age with or without hydrocelectomy. A general surgeon usually performs the surgery in an operation theater.