Cpt 49590

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Cpt 49590. However, the major revisions to hernia repair codes gave this chapter the greatest number of changes in the surgery section of the CPT manual. Hernia repair codes 49560-49590 and 49652-49657 are based on several factors including the type of hernia, the approach for the procedure and the age of the patient. They will be deleted and replaced ...

A clear understanding of CPT ® and Medicare guidelines will put your claims for these procedures on solid ground.. Although knee arthroscopy is common, coding these surgical procedures can be complicated. Payment for knee arthroscopy hinges on proper coding, and proper coding relies on your knowledge of the code definitions and the differences between CPT® and Medicare guidelines.

Contents. Trusted for more than 50 years, the Current Procedural Terminology (CPT®) medical billing and codes set drives communication across health care by enabling the seamless processing and advanced analytics for coding medical procedures and services. CPT® is also the code to medicine's future. Constantly updated by the CPT® Editorial ...Item 49590: • Has been created to provide a new item for open or arthroscopic excision of a ganglion, cyst or bursa around the knee. • The item is an independent procedure and cannot be claimed with other surgical operations; in particular, the47490, Under Introduction Procedures on the Biliary Tract. The Current Procedural Terminology (CPT ®) code 47490 as maintained by American Medical Association, is a medical procedural code under the range - Introduction Procedures on the Biliary Tract.Coding 99495 and 99496 takes more effort than deciding whether the patient is seen 7 vs. 14 days after discharge. The CPT® guidelines for transitional care management (TCM) codes 99495 and 99496 seem straightforward, initially, but the details are trickier than is commonly recognized.Hernia with hydrocelectomy repair (49500/49501) According to CPT description, it's included on a patient younger than 5 yrs of age: [U]49500 [/U] [I]Repair initial inguinal hernia, age 6 months to under 5 years, with or without hydrocelectomy; red... [ Read More ]CODING TIP: Modifier -47 is added to the CPT surgery code. It is not reported with Anesthesia codes 00100–01999. EXAMPLE: The surgeon administers the regional anesthesia and performs the spigelian hernia repair. Code 49590-47 is reported.CPT ® 89250, Under Reproductive Medicine Procedures The Current Procedural Terminology (CPT ® ) code 89250 as maintained by American Medical Association, is a medical procedural code under the range - Reproductive Medicine Procedures.

CPT ® Modifiers, Definitions, and Tips ... Spigelian 49590 Umbilical: 5 Years or Older 49585, 49587 Less Than 5 Years 49580, 49582: Ventral or Incisional 49560, 49561, 49565, 49566: With Mesh Implantation 49568 Hysterectomy (With or Without Salpingo-oophorectomy) Radical 58210:CPT Changes. Current book and archives back to 2000 Easy-to-read online book format Linked to and from code details. learn more. ... CPT Code: CPT 49587: CPT Code: CPT 49590: CPT Code: CPT 49600: CPT Code: CPT 49605: CPT Code: CPT 49606: CPT Code: CPT 49610: CPT Code: CPT 49611: CPT Code: CPT 49652: CPT Code: CPT 49653: CPT Code: CPT 49654: CPT ...Regardless of obesity class, patients may benefit from MNT, so let's look at those codes. 97802 Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes. This code is used for the first visit with a qualified nutrition professional. The provider will assess the condition ... In this procedure, the provider surgically repairs an inguinal hernia that is incarcerated, meaning trapped, or strangulated, meaning the blood supply is cut off. Use this code for initial hernia repair in patients 5 years of age or older. For clinical responsibility, terminology, tips and additional info. start codify free trial. Dec 31, 2016 · This code can be used with CPT codes 49560–49566, for repair of ventral or incisional hernia, but cannot be combined with other codes, for instance, with 49580–49587, repair of umbilical hernia, even though these codes were valued for primary suture repair. Ventral incisional hernia repairs, like inguinal repairs, also are reported as ...

Wix or Competitor Part Number - Search results for 49590. Click on a part number from the list below to see the part's detail: Hover over each part for more information Manufacturer Part Number Manufacturer Wix Part Number Lead Time; 49590: WIX: 49590 : For reference only. There are no express or implied warranties with respect to products ...In 2023, general surgery has new and revised codes as well as code deletions. Here, we take a look at the updates for 7 key modalities: Anterior Abdominal Hernia Repair. There are many changes to the hernia repair codes for epigastric, incisional, ventral, umbilical, and spigelian abdominal hernias. Deleted codes : codes 49560-49590 (open ...Learn how to code anterior abdominal hernia repairs with the new CPT codes 49590 and 49591-49596, 49613-49618, 49621-49622, and 49623 in 2023. Find out what's new, what's changed, and what you can partner with your surgeons on to ensure detailed documentation and accurate coding.Study with Quizlet and memorize flashcards containing terms like Part 1, or the main body of the the CPT book has 6 sections, presented in numerical order by code number. match the code range to the correct section name., Match each ICD-10-PCS character position to the appropriate description, The physician's notes will detail "what" was provided to the …

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CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following products: Find-A-Code Essentials; Find-A-Code Professional; Find-A-Code Premium; Find-A-Code EliteThe Current Procedural Terminology (CPT ®) code 49440 as maintained by American Medical Association, is a medical procedural code under the range - Initial Placement Procedures on the Abdomen, Peritoneum, and Omentum.Spigelian hernia (1-2% of all hernias) is the protrusion of preperitoneal fat, peritoneal sac, or organ(s) through a congenital or acquired defect in the spigelian aponeurosis (i.e., the aponeurosis of the transverse abdominal muscle limited by the linea semilunaris laterally and the lateral edge of …Read this complete California Code, Education Code - EDC § 49590 on Westlaw FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature or via Westlaw before relying on it for your legal needs.SSIs were the second most common healthcare-associated infection, accounting for 17% of all HAIs among hospitalized patients1. A similar rate was obtained from NHSN hospitals reporting data in 2006-2008 (16,147 SSI following 849,659 operative procedures) with an overall rate of 1.9%.2. While advances have been made in infection control ...Find details for CPT® code 49570. Know how to use CPT® Code 49570 through Codify CPT® codes Lookup Online Tools.

The AHA Coding Clinic for HCPCS includes: The official publication for Level I HCPCS (CPT-4 codes) for hospital providers. Also specific Level II HCPCS codes for hospitals, physicians and other health professionals. Current newsletters added each quarter. Full Archives back to 2001. Fully searchable through Find-A-Code's Comprehensive Search.Published on Fri Aug 11, 2006. Hint: 50590 applies to a stone in the kidney or ureter. Extracorporeal shockwave lithotripsy, or ESWL, is a common procedure that urologists perform, but many nuances can make coding the procedure less than common. CPT Code 50590 ( Lithotripsy, extracorporeal shock wave) seems fairly self- explanatory. Summary. The provider uses any approach to perform initial repair of one or more anterior abdominal hernias with a total length of 3 cm to 10 cm. The hernias are reducible, or able to be pushed back inside the abdominal wall. The provider may implant mesh or another prosthesis. For clinical responsibility, terminology, tips and additional info. 0. May 30, 2012. #2. I'd code for both ONLY if I can show separate and distinct repairs with mod -59. If one large repair, I'd only code 49560. Remember, not everything has an edit because CMS is relying on coders understanding NCCI coding guidelines. Your question can fall under the "incident to" or modifier -59 rules depending on dictation.The cpt for umbilical hernias is 49580-49587. For a supraumbilical hernia, you would use the codes for Ventral hernia. 49560-49566 depending on the type of hernia. 49505 is for an inguinal hernia....What is cpt code 49590? repair of a spigelian hernia. This type of hernia is in the layers of the abdominal wall, usually small, and requires repair for preventionof incarceration. repair of a ...CPT codes and RVU table from 2018 National Physician Fee Schedule . CPT code Description Total RVU (Work) Total RVU (Facility) 64561 Percutaneous Implant Neuroelectrode 23.69 8.76 64581 Incision for Implant Neuroelectrode NA 19.18 64585 Revise/remove neuroelectrode 7.00 4.13 64590 Insertion or replacement peripheral neurostimulator 7.62 4.65 ...APC 5733. $130. 1.82. CPT 95250 Professional CGM. Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equipment, sensor placement, hook-up, calibration of monitor, patient training, removal of sensor ...Need a Snapchat agency in Chicago? Read reviews & compare projects by leading Snapchat ad agencies. Find a company today! Development Most Popular Emerging Tech Development Languag...49592 - CPT® Code in category: Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ve... CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA.Step 1: Change the discharge visit code from 1.0 to 0.5 (e.g., 0.5 x CPT code 99238) and subtract one-half of the work RVU for that code. Step 2: Remove all inpatient visit codes (e.g., CPT codes 99231-99233) and subtract the work RVU for those codes. Step 3: Sum the "intra" face-to-face time for the deleted inpatient codes and multiple by ...

Use this code to report sensor placement, hook-up, monitor calibration, patient training, sensor removal, and recording printout. This code is used to report the service when the patient provides the equipment. $58.62. Physician, Advanced Practice HCP, or Institution (hospital outpatient department under OPPS) 95250. Professional.

Methods: A literature review was completed to summarize current knowledge on surgical treatment options and results. Results: SpH presents a high incarceration risk and therefore should be operated upon even if the patient is asymptomatic. Both laparoscopic and open repair approaches are validated by current guidelines with lesser postoperative ...California Code, Education Code - EDC § 49590. Current as of January 01, 2023 | Updated by FindLaw Staff.CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following products: Find-A-Code Essentials; Find-A-Code Professional; Find-A-Code Premium; Find-A-Code EliteSpigelian hernia (1-2% of all hernias) is the protrusion of preperitoneal fat, peritoneal sac, or organ(s) through a congenital or acquired defect in the spigelian aponeurosis (i.e., the aponeurosis of the transverse abdominal muscle limited by the linea semilunaris laterally and the lateral edge of …Read this complete California Code, Education Code - EDC § 49590 on Westlaw FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature or via Westlaw before relying on it for your legal needs.The Current Procedural Terminology (CPT) code range for Surgical Procedures on the Abdomen, Peritoneum, and Omentum 49000-49999 is a medical code set maintained by the American Medical Association. Subscribe to Codify by AAPC and get the code details in a flash. Request a Demo 14 Day Free Trial ...Cpt ® provides just the following two codes for laparoscopic inguinal hernia repair: For Code 47010, Go To Cpt Index Main Term Hepatotomy, Subterm Drainage, Qualifier Abscess, And Qualifier Open. 49587 (reducible) 49587 (incarcerated or strangulated) repair spigelian hernia 49590;Answer: If the surgeon repairs/revises the stoma at the same time, report 44346 ( Revision of colostomy; with repair of paracolostomy hernia [separate procedure ]). If the surgeon did not revise the stoma, choose an appropriate code from the 49500-49590 range for incisional hernia repair (for example, 49560, Repair initial incisional or ventral ...Study with Quizlet and memorize flashcards containing terms like What is the CPT® code for removal of a foreign body from the esophagus via the thoracic area? a. 43020 b. 43045 c. 43215 d. 43500, What parts make up the large intestine? a. Ileum, ascending colon, transverse colon, descending colon, sigmoid colon, rectum and anus b. Jejunum, ileum, …CPT. ®. 49329, Under Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum. The Current Procedural Terminology (CPT ®) code 49329 as maintained by American Medical Association, is a medical procedural code under the range - Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum.

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Prior authorizations will be accepted 24 hours a day, seven days a week, excluding planned down time for system maintenance through the eviCore website. You may also call toll free at 1-888-693-3211 or fax to 1-888-693-3210. eviCore will provide a voice message service for telephone requests received outside the normal operating hours of 8 a.m ...2021 Ultrasound Exam CPT Codes* MSK and Extremity Neck/Head 76536 LymphadenopathyR59.1 Palpable abnormality Hands/Wrists76881 Arthritis / Rheumatoid arthritis M19.90/M06.9 Foreign body Ganglion cyst M67.40 Median / ulnar / radial Neuropathy G56.20/G56.10/G56.30 Palpable abnormality Pain / swelling Elbow 76881 Biceps / triceps tendon tear 546.219ABy G. John Verhovskek MA CPC To assign an appropriate hernia repair code from the more than 30 choices that CPT offers 49491 49590 and 4965049659 youll probably need to answer at least four of the fol...Look in the CPT® Index for Gastroenterology, Diagnostic/Esophagus Tests/Motility Study referring you to codes 91010, 91013. 91010 best describes the motility study with add-on code 91013 used to identify the acid profusion study. Parenthetical note under add-on code 91013 indicates it is reported with code 91010 ... K42.0 c) 49590, K42.9 d ...CODING TIP: Modifier -47 is added to the CPT surgery code. It is not reported with Anesthesia codes 00100-01999. EXAMPLE: The surgeon administers the regional anesthesia and performs the spigelian hernia repair. Code 49590-47 is reported.Published on Fri Aug 11, 2006. Hint: 50590 applies to a stone in the kidney or ureter. Extracorporeal shockwave lithotripsy, or ESWL, is a common procedure that urologists perform, but many nuances can make coding the procedure less than common. CPT Code 50590 ( Lithotripsy, extracorporeal shock wave) seems fairly self- explanatory.49591 - CPT® Code in category: Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ve... CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA.CPT Code 49491, Hernioplasty, Herniorrhaphy, Herniotomy Procedures, Hernia Open Procedures - Codify by AAPC. Select. Code Sets; Indexes; Code Sets and ... By G. John Verhovskek MA CPC To assign an appropriate hernia repair code from the more than 30 choices that CPT offers 49491 49590 and 4965049659 youll probably need to answer at least four ... ….

By G. John Verhovskek MA CPC To assign an appropriate hernia repair code from the more than 30 choices that CPT offers 49491 49590 and 4965049659 youll probably need to answer at least four of the fol...CPT Code 49999, Surgical Procedures on the Abdomen, Peritoneum, and Omentum, Surgical Procedures on the Omental Flap - Codify by AAPC. Select. ... By G. John Verhovskek MA CPC To assign an appropriate hernia repair code from the more than 30 choices that CPT offers 49491 49590 and 4965049659 youll probably need to answer at …This document n w rs requently asked quest ons about billing Management chronic care manage ent (CCM) services to the Physician Fee Schedule (PFS) and Hospital Outpatient Prospective Payment System (OPPS) under CPT code 99490. Physician Fee Schedule. 1. CPT code 99490 requires at least 20 minutes of time per calendar month by "clinical staff ...92960 Won't Fly for Emergency Defibrillation. Published on Thu May 09, 2013. CPR and cardiac cycle synchronization offer key clues to proper coding. Cardioversions and defibrillations can trigger claim denials if you don't know how to distinguish between those services. With the added complication of the vaguely defined "elective ...49590. Repair spigelian hernia. 21,000. 8,400. 12,600. 49600. Repair of small omphalocele, w/ primary closure. 23,300. 12,600. 10,700. 49605. Repair large ...This article is revised to add Type of Bill (TOB) and Revenue codes in the Bill Type Codes and Revenue Codes fields and CPT codes 64585 and 64595 to the Ancillary Codes in the Group 2 Codes as indicated in the Internet Only Manual (IOM) Claims Processing Manual,, Publication 100-4 Chapter 32, Section 40.2-40.5.By G. John Verhovskek MA CPC To assign an appropriate hernia repair code from the more than 30 choices that CPT offers 49491 49590 and 4965049659 youll probably need to answer at least four of the fol...Current Procedural Terminology (CPT®) codes provide a uniform nomenclature for coding medical procedures and services. Medical CPT codes are critical to streamlining reporting and increasing accuracy and efficiency, as well as for administrative purposes such as claims processing and developing guidelines for medical care review. … Cpt 49590, Digital Outputs. Using DDC-49530 thin film as the example: "R2" Relative to "R1" means the ratio of R2 to R1 is critical and must be main-tained to .02%. R1 tolerance specification is 0.1% of 70.8k and an actual value measured must be used for the relative values. "R2" value (12k) must be offset to be relative to R1., CPT code Descriptor 2017 work RVU 2017 total RVU 49590 Repair spigelian hernia 8.90 16.55 Laparoscopic hernia repair 49650 Laparoscopy, surgical; repair initial inguinal hernia 6.36 12.37 49651 Laparoscopy, surgical; repair recurrent inguinal hernia 8.38 16.08 49652 Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric, In contrast, CPT codes 97597 and 97598 are subject to the SNF consolidation billing. Reporting 17250 rather than 97597/97598 to avoid consolidated billing would be inappropriate., SHINGRIX CPT Code - Immunization Administration Codes5‡. 90471: Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), one vaccine (single or combination vaccine/toxoid) +90472: Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections ..., Current CPT Codes for Reporting Urethral injections therapy: 51715 Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder . L8606 Synthetic implant 1 ml . 1100 Wayne Ave, Suite 825 Silver Spring, MD 20910 301.273.0570 Fax 301.273.0778, Jan 16, 2019 · From an appeal standpoint, it may help to bill the hernia repair with a 52 modifier for reduced services since you aren't using a separate incision. I would bill with 52 modifier on 49560 and a 59 modifier on 15830. Or bill 15830 with a 22 modifier and a letter to explain additional reimbursement requested for the hernia repair which isn't ... , CPT Codes 49560 - 49561, 49565 - 49566, 49568, 49570-49572, 49580 - 49582, 49585 - 49587, 49590, 49652 - 49656 have been deleted. Physician (Facility) Hospital Outpatient Ambulatory Surgical Center (ASC) CPT Code Code Description Payment Status Indicator Payment Status Indicator Payment ..., 69990, Under Operating Microscope Procedures. The Current Procedural Terminology (CPT ®) code 69990 as maintained by American Medical Association, is a medical procedural code under the range - Operating Microscope Procedures., ‎49590 : Is Discontinued By Manufacturer ‎No : Assembled Height ‎1.75 inches : Assembled Length ‎9.5 inches : Assembled Width ‎1.25 inches : Style ‎Classic : Color ‎Black : Finish types ‎Black : Number of Lights ‎1 : Special Features ‎2-way switching : Shade Material ‎Paper : Light Direction, 49590 - CPT® Code in category: 49500 - 49599 -/+ Deleted, Replaced, Expanded Codes... CPT Code information is available to subscribers and includes the CPT code number, …, 49590 Elk Trl, Shelby Township, MI 48315 is for sale. View 13 photos of this 2 bed, 3 bath, 1568 sqft. mobile home with a list price of $98900., 49590-Repair spigelian hernia The new codes combine some of the various types of hernia into one set of codes creating 15[2] new CPT codes. The codes bundle epigastric, incisional, ventral, umbilical, and spigelian hernia repair, whether open or laparoscopic, into one category, anterior abdominal hernia., Due to annual CPT/HCPC Updates, CPT code G0515 has been deleted from "CPT/HCPCS Codes" section Group 1 and the following new codes were added; 97129 and 97130. The descriptors have been changed for CPT codes 92626 and 92627. 12/19/2019 R5 This article was converted to the new Billing and Coding Article format., Answer: Code 49905 describes the use of a flap of omentum, a fatty membrane in the abdominal cavity, to fill a defect during an abdominal surgery. The surgeon rotates the flap into place, without disrupting its vascular supply. Per CPT Assistant, November 2000 (Volume 10: Issue 11): Question. We understand that code 49905 is an add-on code and ..., Listado de asentamientos del código postal 49590 en Quitupan, Jalisco. MiCodigoPostal. Búsqueda de Códigos Postales de México. Buscar por ciudad, colonia o poblado. Buscar por Código Postal., Best answers. 0. May 30, 2012. #2. I'd code for both ONLY if I can show separate and distinct repairs with mod -59. If one large repair, I'd only code 49560. Remember, not …, Item 49590: • Has been created to provide a new item for open or arthroscopic excision of a ganglion, cyst or bursa around the knee. • The item is an independent procedure and cannot be claimed with other surgical operations; in particular, the, Per NCCI manual:[I] If a hernia repair is performed at the site of an incision for an open or laparoscopic abdominal procedure, the hernia repair (e.g., CPT codes 49560-49566, 49652-49657) is not sepa..., CPT code 43775 corresponds most closely to CPT code 43631 (Gastrectomy, partial, distal; with gastroduodenostomy). CPT codes 43644 and 43645 correspond closely to CPT code 43633 (Gastrectomy, partial, distal; with Roux-en-Y reconstruction). CPT codes 43631 and 43633 are maintained on the proposed IPO list for CY 2024., Find details for CPT® code 49560. Know how to use CPT® Code 49560 through Codify CPT® codes Lookup Online Tools., 49590: Repair spigelian hernia. 2020 QI: Lap Chole CPT Codes 47562: Laparoscopy, surgical; cholecystectomy ... 47564: Laparoscopy, surgical; cholecystectomy with exploration of common duct. 2020 QI: Hysterectomy CPT Codes 58150: Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or, CPT Procedure Codes and Physician Reimbursement RBRVS Current Procedural Terminology (CPT) codes are developed and maintained by the American Medical Association. CPT codes are used by physicians to report all services. CPT codes are also used by hospitals to report outpatient services and by ambulatory surgery centers to report outpatient ..., Study with Quizlet and memorize flashcards containing terms like What is the CPT® code for removal of a foreign body from the esophagus via the thoracic area? a. 43020 b. 43045 c. 43215 d. 43500, What parts make up the large intestine? a. Ileum, ascending colon, transverse colon, descending colon, sigmoid colon, rectum and anus b. Jejunum, ileum, duodenum, cecum c. Cecum with vermiform ..., A Commitment to Security. At Paychex, safety and security of your personal and account information is one of our top priorities. Below you will find a brief overview of how we undertake this responsibility and some easy-to-follow tips …, This article is about how to hide porn on your computer. The delicate souls among you can replace the word “porn” with “important files” and the same basic methods still apply. For..., CPT Codes. Medicine Services and Procedures. Allergy and Clinical Immunology Procedures. Allergen Immunotherapy Services and Procedures. 95199. 95180. 95199., The 2014 National. Average Medicare physician payment rates have been calculated using a 2014 conversion factor of $35.8228 which reflects the 0.5 percent update for January 1, 2014 through March 31, 2014, as adopted by section 101 of the Pathway for SGR Reform Act of 2013. Rates subject to change., In the CPT® Index, look for Gastroenterology, Diagnostic/Breath Test/Hydrogen; you are directed to code 91065. The code descriptor for 91065 indicates it is reported when determining lactase deficiency, fructose intolerance, bacterial overgrowth or orocecal gastrointestinal transit. ... K42.0 c) 49590, K42.9 d) 49572, K42.9. b) 49587., CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following products: Find-A-Code Essentials; Find-A-Code Professional; Find-A-Code Premium; Find-A-Code Elite, Dec 31, 2022 · 49590 - CPT® Code in category: 49500 - 49599 -/+ Deleted, Replaced, Expanded Codes... CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following products: , 49525. The physician repairs a sliding inguinal hernia. The physician makes a groin incision. The hernia sac is identified and dissected from surrounding structures. The hernia sac is opened and the abdominal viscera attached to the sac are dissected away from the sac if possible., CPT Codes. Surgery. Surgical Procedures on the Digestive System. Surgical Procedures on the Colon and Rectum. Destruction Procedures on the Rectum. 45190. 45172. 45190. 45300., 49590-Repair spigelian hernia The new codes combine some of the various types of hernia into one set of codes creating 15[2] new CPT codes. The codes bundle epigastric, incisional, ventral, umbilical, and spigelian hernia repair, whether open or laparoscopic, into one category, anterior abdominal hernia.