Cpt For Bilateral Inguinal Hernia Repair
Laparoscopic surgical hernia repair.
Cpt for bilateral inguinal hernia repair. What medicare pays here. However if there are complications you may have to remain in the hospital until. 53 17 bilateral inguinal hernia repair with graft or prosthesis not otherwise specified 350 352 987 989 53 71 laparoscopic repair of diaphragmatic hernia abdominal approach 163 165 326 328 907 909 957. Modifier 50 bilateral procedure is used to report bilateral hernia repair in one of two ways by line item format or by bundled format depending on a payor s reporting preference.
In this case the nerve block is not reported separately and is included in the surgical procedure. Bilateral recurrent inguinal hernias bilateral initial hernias. Prompt surgical correction decreases the risk of incarceration strangulation and necrosis in children. It is a very common phenomenon that mainly occurs in men.
The following example shows both methods of reporting bilateral reducible inguinal hernia repair in an adult. Approximately 25 of all men will ever experience an double inguinal hernia. 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. Inguinal hernia repair bilateral.
For inguinal hernia repair cpt code 49505 the surgeon may use an ilioinguinal or iliohypogastric nerve block cpt 64425. Append modifier 50 when appropriate for bilateral hernia repairs via the same approach for the same type of condition e g. 12052 intmd wnd repair face mm. 23465 repair shoulder capsule.
For procedure start typing and let. Hernia repair codes 49491 49651 are unilateral procedures. So 64425 is bundled into 49505. If hernia repair is unilateral use modifier rt or lt to indicate the site.
Do not append a modifier 50 to a right initial inguinal hernia and a recurrent left inguinal hernia both repaired via the same approach. Indirect inguinal hernia repair is a common procedure for premature infants because of the frequency of a patent processus vaginalis. In the case of a bilateral inguinal hernia there are weaknesses on both sides of the lower abdominal wall resulting in bulges in the groin containing part of the peritoneum or abdominal fat.