Cpt Code For Repair Of Inguinal Hernia With Mesh

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. 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. Code 15734 is an open procedure.

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The open hernia repair codes are found in the range of codes 49491 49611.

Cpt code for repair of inguinal hernia with mesh. Login to read the rest of. Please report cpt code 49505 for age 5 or more for repair of inguinal hernia. The use of mesh or other prosthesis is considered inherent to all laparoscopic hernia repairs 49650 49657 and to some of the open hernia repair codes including inguinal 49491 49525 lumbar 49540 femoral 49550 49557 epigastric 49570 49572 umbilical 49580 49587 and spigelian 49590. While the surgeon placed mesh to repair the hernia the cpt guidelines state that with the exception of open incisional or ventral hernia repairs 49560 49566 the insertion of mesh or other prosthesis is not separately reportable.

Therefore we cannot report cpt 49568 for insertion of mesh like we could in the first example. 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. Implantation of mesh or other prosthesis for open incisional or ventral hernia 49568 n 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. 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 laparoscopic codes are found in the cpt range of codes 49650 49657. For hernia repair procedures that are hybrid laparoscopic and open repairs report the appropriate code for open. 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. Hybrid laparoscopic and open hernia repair.

For more complicated laparoscopic hernia repair procedures that may include separation of components report code 49659 unlisted laparoscopy procedure hernioplasty herniorrhaphy herniotomy.