Laparoscopic Bilateral Inguinal Hernia Repair Cpt Code

Notice that the concept of reducible or incarcerated and the patient s age is not addressed in the laparoscopic cpt codes for inguinal. Cpt code 49659 unlisted laparoscopy procedure hernioplasty herniorrhaphy herniotomy is reported when a cpt code does not exist for the type of repair performed. Hernia repair codes 49491 49651 are unilateral procedures.

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With all the complexities involved the support of a reliable and experienced medical coding service provider can be useful for reporting hernia surgical repair procedure correctly.

Laparoscopic bilateral inguinal hernia repair cpt code. For open ventral and incisional hernia repairs using a piece of mesh such as vicryl mesh or allograft mesh to repair the hernia allows you to add an additional code cpt 49568 in addition to the hernia repair code. The open hernia repair codes are found in the range of codes 49491 49611. For inguinal hernia repair cpt code 49505 the surgeon may use an ilioinguinal or iliohypogastric nerve block cpt 64425. Laparoscopic hernia repair was developed as a technique long after open hernia repair.

Categories medical coding news resources tags cpt hcpcs hernia icd 10 medical coding ms drg. What cpt codes should i use to report a laparoscopic bilateral inguinal hernia repair and a right sided femoral hernia repair also done laparoscopically. We see from the cpt description that this code is appropriate for a laparoscopic approach for an inguinal hernia and for an initial repair. In this case the nerve block is not reported separately and is included in the surgical procedure.

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 answer depends on whether your physician is repairing an initial or recurrent inguinal hernia. The 1994 cpt code set added only two codes for laparoscopic hernia repair 49650 and 49651. The laparoscopic codes are found in the cpt range of codes 49650 49657.

Repair initial inguinal hernia. For all other hernia repairs inguinal umbilical laparoscopic ventral etc the placement of mesh is already included in the. If hernia repair is unilateral use modifier rt or lt to indicate the site. Login to read the rest of.

In 1994 when codes 49650 and 49651 were created very few laparoscopic inguinal hernia repairs were performed for incarcerated hernias. Since the femoral hernia is being laparoscopically repaired you do not need to consider whether the.