Initial Inguinal Hernia Repair Cpt Code
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.
Initial inguinal hernia repair cpt code. 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. The following cpt codes are used to report hernia repair. I believe the correct coding would be 49520 rt repair recurrent inguinal hernia any age. Incarcerated or strangulated 636 26 j1 3 109 34 a2 1 377 21 49505 repair initial inguinal hernia age 5 years or older.
Notice that the concept of reducible or incarcerated and the patient s age is not addressed in the laparoscopic cpt codes for inguinal. Hernia repair codes 49491 49651 are unilateral procedures. Repair initial inguinal hernia age 6 months to younger than 5 years with or without hydrocelectomy. Reducible 49561 repair initial incisional or ventral hernia.
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. The destruction by electrosurgery of fourteen papilloma lesions in the anal area. We see from the cpt description that this code is appropriate for a laparoscopic approach for an inguinal hernia and for an initial repair. What is the correct coding of a bilateral hernia repair when the left side is an initial repair and the right is a second or recurrent repair.
The procedure used to develop an artificial opening through the abdominal wall is. Do not append a modifier 50 to a right initial inguinal hernia and a recurrent left inguinal hernia both repaired via the same approach. 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. If hernia repair is unilateral use modifier rt or lt to indicate the site.
Right side and 49505 lt 51 repair initial inguinal hernia age 5 years or over. Reducible 547 48 j1 3 109 34 a2 1 377 21 49507 repair initial inguinal hernia age 5 years or older. Or over reducible under 5 years 49560 repair initial incisional or ventral hernia. Repair initial inguinal hernia.
Repair initial inguinal hernia under age 6 months with or without hydrocelectomy.