Cpt For Inguinal Hernia Repair With Mesh

If hernia repair is unilateral use modifier rt or lt to indicate the site. However if there are complications you may have to remain in the hospital until. Code 15734 is an open procedure.

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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.

Cpt for inguinal hernia repair with mesh. For more complicated laparoscopic hernia repair procedures that may include separation of components report code 49659 unlisted laparoscopy procedure hernioplasty herniorrhaphy herniotomy. Hernia mesh is used in approximately 90 percent of hernia surgeries. Placement of mesh can only be billed together with incisional and ventral hernia repair per medicare s ncci edits manual. Chronic pain after inguinal hernia repair.

This means you can go home the same day as the surgery. The main reason surgeons use hernia mesh is to reduce the risk of recurrence. 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. For hernia repair procedures that are hybrid laparoscopic and open repairs report the appropriate code for open.

The mesh is made of a flexible material that stays in the abdomen and encourages new tissue to grow into it. Non tension means just that. Body part on their given code tables specific body part values are available for diaphragm abdominal wall inguinal region femoral region and other lower. Non tension or mesh repair.

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. Do not append a modifier 50 to a right initial inguinal hernia and a recurrent left inguinal hernia both repaired via the same approach. If either an incisional or ventral hernia repair is done at the time of another abdominal procedure through the same incision do not separately report the hernia repair. Hernia mesh is a surgical implant that provides additional support to the damaged tissue.

Inguinal hernia repair is often an outpatient procedure. Experts think the procedure may damage certain nerves. The surgeon uses images from the laparoscope as a guide to repair the hernia with mesh. Hybrid laparoscopic and open hernia repair.

Instead of pulling the tissue around the hernia together a piece of mesh is positioned to reinforce the area and fixed in place with sutures and or staples.