Inguinal Hernia With Mesh Cpt Code

A complex procedure such as the repair of a recurrent incarcerated hernia is coded as follows. Hernia mesh is used in approximately 90 percent of hernia surgeries. Body part on their given code tables specific body part values are available for diaphragm abdominal wall inguinal region femoral region and other lower.

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The last update in hernia coding was in 2009.

Inguinal hernia with mesh cpt code. Add on code 49568 is reported along with 49565 if synthetic mesh is used. Use of nerve block anesthesia. 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. For inguinal hernia repair cpt code 49505 the surgeon may use an ilioinguinal or iliohypogastric.

Incarcerated or strangulated. 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. 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. Please report cpt code 49505 for age 5 or more for repair of inguinal hernia.

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. If you are new to general surgery coding read on. 43566 herniorrhaphy recurrent incarcerated. 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.

So if you are an experienced general surgery coder you can skip this article. 49568 implantation of mesh or other prosthesis for open incisional or ventral hernia. Placement of mesh 49568 is an add on code for incisional or ventral hernia repairs performed via an open approach. 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.