Laparoscopic Bilateral Inguinal Hernia Repair With Mesh Cpt Code

The laparoscopic codes are found in the cpt range of codes 49650 49657. The 1994 cpt code set added only two codes for laparoscopic hernia repair 49650 and 49651. Repair initial inguinal hernia.

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Cpt code 49659 unlisted laparoscopy procedure hernioplasty herniorrhaphy herniotomy is reported when a cpt code does not exist for the type of repair performed.

Laparoscopic bilateral inguinal hernia repair with mesh cpt code. In 1994 when codes 49650 and 49651 were created very few laparoscopic inguinal hernia repairs were performed for incarcerated hernias. Laparoscopic hernia repair was developed as a technique long after open hernia repair. 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. Or over reducible under 5 years.

Notice that the concept of reducible or incarcerated and the patient s age is not addressed in the laparoscopic cpt codes for inguinal. The 2019 cpt codes for hernia repair are as follows. If hernia repair is unilateral use modifier rt or lt to indicate the site. The two approaches for surgical hernia repair are.

Login to read the rest of. The open hernia repair codes are found in the range of codes 49491 49611. The following cpt codes are used to report hernia repair. For all other hernia repairs inguinal umbilical laparoscopic ventral etc the placement of mesh is already included in the.

Hernia repair codes 49491 49651 are unilateral procedures. 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. 49505 repair initial inguinal hernia 5 yrs. 49560 49566 incisional or ventral.

Between two and four small incisions are made through the abdominal wall through which are passed the laparoscope a thin telescope with a light on the end and surgical instruments into the abdomen. Laparoscopic inguinal hernia repair keyhole surgery laparoscopic inguinal hernia repair uses an instrument called a laparoscope. Hernias are classified as reducible irreducible obstructed or strangulated. We see from the cpt description that this code is appropriate for a laparoscopic approach for an inguinal hernia and for an initial repair.

A synthetic or prosthetic mesh is used to strengthen the repair in 90 percent of all hernia surgeries aapc. Usually general surgeons repair primary hernias and a plastic surgeon s services are not required.