Cpt Code For Open Right Inguinal Hernia Repair With Mesh

For all other hernia repairs epigastric umbilical etc open or laparoscopic you cannot claim 49568 even if the surgeon places mesh during. Laparoscopic surgical hernia repair. In this case the nerve block is not reported separately and is included in the surgical procedure.

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The surgeon fixes a mesh in the weak area to prevent the hernia from recurring.

Cpt code for open right inguinal hernia repair with mesh. The surgeon checks for other weak spots as an inguinal hernia might occur on one side or both sides. Add on code 49568 implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection list separately in addition to code for the incisional or ventral hernia repair can be used only with incisional or ventral hernia repairs 49560 49566. Hybrid laparoscopic and open hernia repair. Mesh implantation is payable separately when performed with open ventral and incisional hernia repairs but is included in open repair of umbilical inguinal and other hernias.

For more complicated laparoscopic hernia repair procedures that may include separation of components report code 49659 unlisted laparoscopy procedure hernioplasty herniorrhaphy herniotomy. So 64425 is bundled into 49505. 49568 implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection list separately in addition to code for the incisional or ventral hernia repair use 49568 in conjunction with 11004 11006 49560 49566. Placement of mesh 49568 is an add on code for incisional or ventral hernia repairs performed via an open approach.

The range of codes that cpt code 49568 may be reported with is 49560 49566. Code 15734 is an open procedure. Surgeons will often place prosthetic mesh to facilitate hernia repair but coders can only report 49568 separately when the surgeon repairs an incisional ventral hernia 49560 49561 49565 49566. For hernia repair procedures that are hybrid laparoscopic and open repairs report the appropriate code for open.

Please report cpt code 49505 for age 5 or more for repair of inguinal hernia. For inguinal hernia repair cpt code 49505 the surgeon may use an ilioinguinal or iliohypogastric nerve block cpt 64425. The facility may bill for mesh in other cases but there is not a separate physician charge. In case of incarcerated or strangulated hernia the surgeon may remove the hernial sac and repair the area with stitches.