Cpt Code Inguinal Hernia Repair With Mesh

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. 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. The range of codes that cpt code 49568 may be reported with is 49560 49566.

after inguinal hernia repair an inguinal hernia is found in the can a woman have an inguinal hernia 2 weeks after inguinal hernia surgery bowel problems after inguinal hernia repair best way to repair inguinal hernia bilateral inguinal hernia repair icd 10 bilateral inguinal hernia in infants

Hernia Repair Cpt Codes Best Coding Guide Medical Coding Guide

Acs Bulletin April 2017 Hernia Repair And Complex Abdominal

Frequently Asked Questions About Cpt Coding The Bulletin

Simplify Hernia Repair Coding Aapc Knowledge Center

Hernia Repair And Complex Abdominal Wall Reconstruction The Bulletin

Reader Question Remember Inguinal Hernia Repair Includes Mesh

If you are new to general surgery coding read on.

Cpt code inguinal hernia repair with mesh. Body part on their given code tables specific body part values are available for diaphragm abdominal wall inguinal region femoral region and other lower. 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. In this case the nerve block is not reported separately and is included in the surgical procedure. For all other hernia repairs such as epigastric umbilical etc open or laparoscopic add on code 49568 cannot be billed for placing the mesh during the repair by the provider.

So 64425 is bundled into 49505. Placement of mesh 49568 is an add on code for incisional or ventral hernia repairs performed via an open approach. Laparoscopic surgical hernia repair. Placement of mesh can only be billed together with incisional and ventral hernia repair per medicare s ncci edits manual.

For inguinal hernia repair cpt code 49505 the surgeon may use an ilioinguinal or iliohypogastric nerve block cpt 64425. Laparoscopic epigastric and hiatal hernia repair is. Repair initial inguinal hernia preterm infant younger than 37 weeks gestation at birth performed from birth up to 50 weeks postconception age with or without hydrocelectomy. 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.

So if you are an experienced general surgery coder you can skip this article. Therefore we cannot report cpt 49568 for insertion of mesh like we could in the first example. Note that a code using root operation u supplement stands by itself as a hernia repair procedure and no additional code is required or assigned to capture the repair or use of mesh. 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.

Please report cpt code 49505 for age 5 or more for repair of inguinal hernia. The facility may.