Cpt Code For Right Inguinal Hernia Repair With Mesh

In fact despite recent negative press regarding use of abdominal mesh use of mesh in an inguinal hernia repair remains the standard of care.

Cpt code for right inguinal hernia repair with mesh. In this case the nerve block is not reported separately and is included in the surgical procedure. 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. 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. Laparoscopic surgical hernia repair.

Laparoscopy this method leaves smaller scars than. For more complicated laparoscopic hernia repair procedures that may include separation of components report code 49659 unlisted laparoscopy procedure hernioplasty herniorrhaphy herniotomy. For hernia repair procedures that are hybrid laparoscopic and open repairs report the appropriate code for open. For open ventral and incisional hernia repairs using a piece of mesh such as vicryl mesh or allograft mesh to repair the hernia allows you to add an additional code cpt 49568 in addition to the hernia repair code.

Hernia repair codes 49491 49651 are unilateral procedures. 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. 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.

Code 15734 is an open procedure. Bilateral recurrent inguinal hernias bilateral initial hernias. For all other hernia repairs inguinal umbilical laparoscopic ventral etc the placement of mesh is already included in the. 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.

So 64425 is bundled into 49505. Do not append a modifier 50 to a right initial inguinal hernia and a recurrent left inguinal hernia both repaired via the same approach. Append modifier 50 when appropriate for bilateral hernia repairs via the same approach for the same type of condition e g.