Cpt code ventral hernia repair

Wiki Need CPT code help. Thread starter coder25; Start date Jan 18, 2010; Create Wiki C. coder25 Guru. Messages 174 ... closure of jejunojenal mesenteric defect and Peterson's defect, repair of recurrent ventral hernia with Prolene mesh component separation. Any ideas??? I found a lap code for the Peterson's defect, but nothing for open. Also ...

Cpt code ventral hernia repair. Purpose: Ambiguity exists defining abdominal wall reconstruction (AWR) and associated Current Procedural Terminology code usage in the context of ventral hernia repair (VHR), especially with recent adoption of laparoscopic and robotic-assisted AWR techniques. Current guidelines have not accounted for the spectrum of repair complexity and have relied on expert opinion.

Open Umbilical Hernia Repair Cpt Code 2024. Medicare rules do not permit appending modifier 50 to code 49568 for. ... Ventral Hernia Repair Pasadena Orange County CA, …

Here are the possible answers: A. 49560, 49568. B. 49653. C. 49652. D. 49653, 49568 . And here is the rationale for the answer: The patient is having a laparoscopic ventral hernia repair, eliminating multiple choice answers A. The hernia is incarcerated as the report states that omentum was adhered to the hernia and was delivered back into the ...Effective in 2023, new CPT codes are available to report anterior abdominal hernia repair, including umbilical, ventral, incisional, epigastric, spigelian, and parastomal hernias, regardless of the surgical approach used. These codes are based on the total size of all hernias and have a 0-day global period. The work RVUs for the new codes have ...The prevalence of incisional hernia after laparotomy is reported to be between 11% and 20%, 3, 4 and incisional hernia recurrence after surgical repair is as high as 45%. 5, 6 Incisional hernias cause pain and other more serious problems, such as bowel obstruction, incarceration, and strangulation. Surgeons are aware of these complications, but ...The appropriate CPT code for laparoscopic hernia repair depends on the specific type of hernia and the procedure performed. Common codes include 49652 (Laparoscopy, surgical, repair, ventral, umbilical, incisional, or epigastric hernia) and 49653 (Laparoscopy, surgical, repair, inguinal hernia, includes mesh insertion, when performed).new laparoscopic hernia repair codes for ventral and incisional hernia repair (49652-49657) were added to the CPT code set. Hernia repair codes are not size-dependent. A 1 centimeter incarcerated initial incisional hernia is repaired with the same code (49561) as a 25 centimeter incarcerated initial incisional hernia, and both receive theRobotic-assisted hernia repair using a transabdominal preperitoneal (TAPP) approach has emerged as a viable alternative to traditional IPOM by potentially addressing these limitations. We review the operative considerations, intraoperative approach, and current body of literature related to robotic-assisted TAPP ventral hernia repair and ...Best answers. 0. Aug 3, 2009. #1. NCCI edits for panniculectomy (15830) make this the column two edit of an umbilical hernia repair (49585) when performed at the same time. Our surgeons are performing both procedures. Some carriers consider the panniculectomy cosmetic or excluded while others will pay for this via pre-determination.1. Component separation, retrorectal, 25 x 16 Marlex mesh repair of complex ventral incisional hernia. 2. Debridement of devitalized tissue and removal of mesh. 3. …

Insurance companies typically cover hernia repairs (umbilical, inguinal, ventral) but will not cover diastasis recti as that condition is not a true hernia. In office we commonly repair small umbilical hernias at the same time as an abdominoplasty but any larger hernia requiring extensive repair and/or mesh would need to be corrected by a ...Hernia mesh is used in approximately 90 percent of hernia surgeries. 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 ...Potential Procedures Using SurgiMend® in Epigastric, Incisional, Ventral, Umbilical and Spigelian Hernia - HOPD/ASC . CPT Code Code Description APC 2024 Medicare Base Payment Rate - Hospital Outpatient 2024 Medicare Payment Rate - Ambulatory Surgical Center 49591** Repair of anterior abdominal hernia(s) (ie, epigastric, incisional,But 55520 is a designated "separate procedure" that occurs here with a related primary procedure, the hernia repair 49505 ( Repair initial inguinal hernia, age 5 years or older; reducible ). Therefore, correct coding dictates that you bundle the excision into the hernia repair. In short: You would report only the hernia repair, as usual, using ...Objective: The aim of this study was to compare clinical and patient-reported outcomes of robotic versus laparoscopic ventral hernia repair (LVHR) at 1-year postoperative. Summary of background data: Despite a relative lack of research at low risk for bias assessing robotic ventral hernia repair (RVHR), the growth of RVHR has been rapid.Which CPT code open hernia repair 49587 or laparoscopic hernia repair 49653 will work. Please help. danskangel313 True Blue. Messages 810 Best answers 0. ... Thanks for the reply, but CPT guidelines allow separate billing for mesh for ventral or incisional hernia and not for umbilical. Any thoughts on why umbilical hernia repair is not ...Select patients with complex ventral hernias may benefit from a technique that employs Botox injections to relax the abdominal muscles before surgery, enabling the surgeon to complete the hernia repair less invasively. The Brigham's Eric G. Sheu, MD, PhD, and Daniel I. Glazer, MD, discuss the benefits of this approach.49560 - The physician repairs an incisional or ventral hernia. The physician makes an incision over the hernia. Dissection is continued through scar tissue and the hernia sac is identified and dissected from surrounding structures. The fascial defect is identified circumferentially. The hernia is reduced and the hernia sac may be resected.

Valuable guidance on this topic can be found in the NCCI Policy Manual, Chapter 6, section E.4, which states: " 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 separately reportable.More recently, code 49565, Repair recurrent incisional or ventral hernia; reducible, was identified by the RUC as a service performed less than 50% of the time in the inpatient setting that included inpatient hospital E/M service codes and had Medicare utilization of more than 5,000 paid claims.Introduction. Inguinal hernia repair is one of the most common procedures performed around the world; around 20 million herniorrhaphies are done each year ().However, laparoscopic hernia repair was introduced over 27 years ago; most hernias are still repaired with an open anterior approach (2,3).Although laparoscopic techniques have shown some advantages over open approaches, such as lower ...0. Oct 11, 2017. #3. Open Ventral Hernia Repair with Panniculectomy. In an instance where I faced virtually the same situation (huge hernia reduced and repaired) where the resulting panniculectomy had to be done in order to effect a closure that was appropriate (not for cosmetic reasons), I billed the panniculectomy with a modifier 59, sent ...was no need for a new CPT code or unique modifier for surgical procedures performed using robotic assistance. Physicians are advised to use the CPT code that accurately describes the basic surgical procedure. Use of modifier 22 is not appropriate if the sole use of the modifier ... repair (including repair of cystocele, if performed) 16.08 . 25 ...

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In the ever-evolving landscape of healthcare, accurate and efficient medical coding is crucial. One important aspect of medical coding is understanding and utilizing Current Proced...Objective To determine whether robotic ventral hernia repair is associated with fewer days in the hospital 90 days after surgery compared with laparoscopic repair. Design Pragmatic, blinded randomized controlled trial. Setting Multidisciplinary hernia clinics in Houston, USA. Participants 124 patients, deemed appropriate candidates for elective minimally invasive ventral hernia repair ...AHA Coding Clinic ® for ICD-10-CM and ICD-10-PCS - 2014 Issue 4; Ask the Editor Abdominoplasty and Abdominal Wall Plication for Hernia Repair. The patient presented with a ventral hernia and underwent abdominoplasty and abdominal wall plication.571. Best answers. 0. Oct 6, 2011. #3. in the CPT manual it states that procedure code 49568 is only to be used with incisional and ventral hernia's. On a different note. .A sports hernia and an inguinal hernia are similar problems that both occur in the lower abdomen/groin. The problem is due to a weakening of the abdominal wall muscles.

CPT Code For Robotic Ventral Hernia Repair is a medical billing code used to identify the specific procedure done to treat ventral hernias using robotics technology. This code, specifically 49568, denotes the use of minimally invasive techniques to repair hernias that occur in the abdomen or belly button area. The procedure involves making small incisions,What is the correct code for an open release of a small bowel obstruction with repair of an incisional hernia? ... Medical Coding. General Surgery . Wiki ... What is the correct code for an open release of a small bowel obstruction with repair of an incisional hernia? Thank you . C. cooper1 Guru. Messages 100 Location Templeton, PA Best answers 0.Prosthetic mesh used for inguinal and ventral hernia repair: normal appearance and complications in ultrasound and CT. Br J Radiol 2004;77(915):261-265. Crossref, Medline, Google Scholar; 15. Lin BH, Vargish T, Dachman AH. CT findings after laparoscopic repair of ventral hernia. AJR Am J Roentgenol 1999;172(2):389-392.28 Hernia: inguinal, ventral, and incisional procedures 31 Liver resection/hepatectomy procedures 33 Otolaryngology procedures 35 Prostatectomy, nephrectomy, and cystectomy procedures ... As the AMA publishes CPT codes on an annual basis, and makes decisions regarding the addition, deletion, or revision of CPT codes49616 - 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.If a diagnostic laparoscopy results in an open surgical procedure, however, you may report the diagnostic/exploratory laparoscopy separately with modifier 58 Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period appended. Per the Policy Manual:Although CPT 2002 includes two codes for LR of inguinal hernias 49650 (Laparoscopy, surgical; repair initial inguinal hernia) and 49651 ( repair recurrent inguinal hernia) it does not include a code for LR of ventral/incisional hernias. These complications commonly develop after a patient has had open abdominal surgery, and they often require ...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 ...... repairs, since there were no robotic codes for ventral hernias. There were also issues coding for those cases where a hernia repair started in a minimally ...

The entire procedure would be considered recurrent and strangulated and reported with code 49616, Repair of anterior abdominal hernia (s) (i.e., epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of de...

Background: complex ventral hernia repair is a frequent and challenging topic. Reconstructive techniques are numerous but most of them are unable to achieve the goals of hernioplasty. ... (14 males) with large median ventral incisional hernias. The recurrence in various degrees was present in 18 patients (75%). The average size of the defect ...CPT code 49568 for reporting implantation of mesh has been deleted. The work associated with mesh implantation is now incorporated in the work reported with these new codes. All hernias described as epigastric, incisional, ventral, umbilical, and spigelian are now coded with these new codes for anterior abdominal hernia repairs.The diagnosis was Diastasis recti and the doctor indicates that he did an open ventral hernia repair, a laparoscopic ventral hernia repair with mesh and an abdominoplasty. The CPT codes I am considering are 49565, 49568, 15830, and 15847. I am not confident that these are the right codes. On top of it the laparoscopic and open hernia repairs ...Purpose. Ambiguity exists defining abdominal wall reconstruction (AWR) and associated Current Procedural Terminology code usage in the context of ventral hernia repair (VHR), especially with recent adoption of laparoscopic and robotic-assisted AWR techniques. Current guidelines have not accounted for the spectrum of repair complexity and have ...Best answers. 0. Mar 17, 2008. #4. component sep. My doc performs this and uses 15734 x 2 (right and left), he uses alloderm as well, 15330 and 15331 depending on measurements, in addition to using the hernia repair code. C.PROCEDURE PERFORMED: 1. Component separation, retrorectal, 25 x 16 Marlex mesh repair of complex ventral incisional hernia. 2. Debridement of devitalized tissue and removal of mesh. 3. Flap advancement, right and left, bilateral, with component separation. The surface area was 30 x 25 bilaterally.(CPT) code for a surgical abdominal wall hernia repair (see CPT code list below), coincident with, or subsequent to, the incident diagnosis, in any position. (continued on next page) ... Ventral hernia K43 (ventral hernia) - K43.0 (incisional hernia with obstruction, without gangrene) - 552.21 (incisional ventral hernia with

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laparoscopic ventral hernia repair • cpt® code: 49653‐laparoscopy surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion when performed)‐ incarceratedor strangulated • diagnosis code: 552.20‐ventral hernia, with obstructionfor 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 reported with the repair of incisional or ventral hernias (49560-49566), when performed. This add-on code applies to any type ofAnswer: Although new codes 49591-49618 ((Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic) …) include mesh implantation, when performed, the codes don't include mesh removal. CPT ® 2023 provides a new add-on code for that service: +49623 (Removal of total or near total non-infected mesh or ...Feb 22, 2022 ... Laparoscopy hernia repair CPT code - simplify medical coding · Comments28.#1. This is a suture/imbrication repair of a rectus diastasis (separation of stomach muscle). I've searched for a CPT code and have come up with nothing. If …Robotic-assisted hernia repair using a transabdominal preperitoneal (TAPP) approach has emerged as a viable alternative to traditional IPOM by potentially addressing these limitations. We review the operative considerations, intraoperative approach, and current body of literature related to robotic-assisted TAPP ventral hernia repair and ...Report code, Left tympanostomy with insertion of a ventilating tube, under local anesthesia. Report code and more. ... 2021 OUTPATIENT CODING ICD-10-CM/CPT/HCPCS (Domain 1) Teacher 24 terms. innerpeace4u. Preview. RMA Exam CH 15. 38 terms. ... Repair of acute diaphragmatic hernia in a 25-year-old patient who was injured during a motor vehicle ...Pre-op Dx: Ventral hernia. Post-op Dx: Umbilical hernia. Procedure: Repair of umbilical hernia. Note: The procedure would be billed as 49585 (repair umbilical hernia, age 5 years or over; reducible). There are many different hernia repair procedures, and using the correct CPT and diagnosis codes when billing for such services can be quite ... ….

Illinois Subscriber. Answer: Take a look at 49652 (Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia [includes mesh insertion, when performed]; reducible). With an open closure of an abdominal wound, the umbilical hernia repair would be included in the wound closure itself and should not be separately billed.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.0. Sep 6, 2012. #1. Patient is 10 days post op from small bowel resection and presents for ventral hernia/fascial dehiscence repair with AlloMax mesh and wound vac placement. Patient placed in supine position. The abdomen was prepped and draped in the normal sterile fashion. The patient was found to have very poorquality fascia.The ventral incision hernia is found on abdominal walland the repair can be performed by making an incision near the site of hernia present. The incision is closed with mesh or suture. The CPT code for this procedure is 49560-66.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 incarcerated (trapped) or strangulated (trapped so blood flow is cut off). The provider may implant mesh or another prosthesis. For clinical responsibility, terminology, tips and additional info.Coding Anterior Abdominal Hernia Repairs in 2023. One of the more notable CPT® changes impacting surgical coders in 2023 is the overhaul of the CPT codes for repair of ventral, incisional, umbilical, spigelian, and epigastric hernias. CPT codes 49560-49561, 49565-49566, 49568, 49570, 49572, 49580, 49583, 49585, 49587, 49590, and 49652-49657 ...Robotic-assisted hernia repair using a transabdominal preperitoneal (TAPP) approach has emerged as a viable alternative to traditional IPOM by potentially addressing these limitations. We review the operative considerations, intraoperative approach, and current body of literature related to robotic-assisted TAPP ventral hernia repair and ...49561 becuase it is an incarcerated hernia ( 'incanceration' in hernia refers in terms of the internal tissues or organs getting jammed up in to the defective facia or ring an dbecomes irreducible). 49568 as per the CPT guidelines, the incisional/ventral hernias when performed with the mesh for closure should be listed separately in addition to ...Lima, Ohio. Best answers. 0. Oct 9, 2014. #1. My surgeon performed a Hybrid Hernia Repair. This is an open umbilical hernia repair (incarcerated) with robotic laparoscopic mesh placement. This type of procedure was planned. He started as open and then converted it to laparoscopic.Here, we present the robotic eTEP retrorectus Rives-Stoppa repair of an upper midline primary ventral hernia in a 63-year-old female. Case Overview Patient History and Physical Exam. This is a 63-year-old female with hypertension, asthma, and bipolar disorder who has an upper midline primary ventral hernia. Cpt code ventral hernia repair, UMBILICAL VENTRAL HERNIA Hernia Surgery in Dubai, In 1994, when codes 49650 and 49651 were created, very few laparoscopic inguinal hernia. The changes in the surgery …, Best answers. 0. Mar 10, 2010. #2. CPT code for TAPP. Yes...49650 includes the placement of mesh into the abdominal cavity to cover the defect. L., Best answers. 0. Aug 3, 2009. #1. NCCI edits for panniculectomy (15830) make this the column two edit of an umbilical hernia repair (49585) when performed at the same time. Our surgeons are performing both procedures. Some carriers consider the panniculectomy cosmetic or excluded while others will pay for this via pre-determination., The multiple ventral hernia repair CPT code, which is 49568, is used to describe repairs of more than one ventral or incisional hernia in the same patient. It covers the entire surgical procedure, including the repair of all hernias, regardless of the size, location, or complexity., That means you’ll no longer report the following deleted codes for open hernia repair, beginning Jan. 1: 49560-49566 (Repair … incisional or ventral hernia …) 49570-49572 (Repair epigastric hernia …) 49580-49587 (Repair umbilical hernia …) …, Open Ventral Hernia Repair. In open hernia repair, also called herniorrhaphy, a person is given general anesthesia to sedate or help the person sleep, and this is often augmented with epidural anesthesia to improve recovery time and pain control. Then the surgeon makes an incision on the abdomen, releases scar tissue, and moves the hernia ..., 49618 - 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 49616 in section: Repair of anterior abdominal hernia (s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, …, Procedural Terminology (CPT®), CPT ... ventral hernia- the intestinal tissue is firmly ... Hybrid laparoscopic and open repairs during a hernia repair procedure ..., 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., Results: There were 3 cases of robot-assisted TAPP ventral hernia repair with mesh. The mean age of the patients was 49 years, the mean body mass index was 32.6 kg/m (2), and the mean operative time was 163.7 minutes. The mean defect size was 1219.0 mm (2). There were no conversions to open during this early learning phase., Current procedural terminology (CPT) codes for incisi onal/ventral hernia repair (CPT code s: 49560, 49561, 49565, 49566) and con current CPT codes for component sep aration procedure (CPT code ..., The Sugarbaker procedure is a laparoscopic repair, so you should not choose one of the open hernia repair codes such as 49560-49566 (Repair … incisional or ventral hernia; …) (Also note that the correct code for open repair of parastomal colostomy hernia is 44346, Revision of colostomy; with repair of paracolostomy hernia [separate ..., Cpt Code For Inguinal Hernia Repair 2024. Repair initial inguinal hernia, age 5 years or older; If the hernia is incarcerated or strangulated, however, 49525. 49560 (reducible) 49561 (incarcerated or strangulated). Cpt code 49525 is used when a provider performs a procedure to. Reducible 090 7.96 15.03 Table 6. Cpt ® provides just one code, Individual Current Procedural Terminology codes are available online for free through the CPT Code/Relative Value Search, according to the American Medical Association. It is possi..., I need help with ASA code for laparoscopy incarcerated umbilical hernia repair(49653), the hernia is located below the umbilicus, which asa code to use 00750 or 00832= (anesthesia for hernia repairs i..., Yes, both procedures can be reported with codes 49653, Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); incarcerated or strangulated, and 49650, Laparoscopy, surgical; repair initial inguinal hernia. Because this code pair does not have a National Correct Coding ..., 4. 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. separately reportable. The hernia repair is separately. reportable if it is performed at a site other than the incision. and is medically reasonable and necessary., CPT codes Anesthesia Business Consultants, LLC (ABC) is the largest physician billing ... 00832 repair ventral and incisional hernia 00834 hernia repair < 1 yr 00836 anesth hernia repair preemie 00840 surgery lower abdomen 00842 amniocentesis 00844 pelvis surgery 00846 radical hysterectomy ..., Patient has a history of hiatal hernia for many years, which has progressively gotten worse. The decision to repair the hernia was made, and the patient was sent to the operating room where the repair took place via the thorax and abdomen. 39503 Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of …, Background: complex ventral hernia repair is a frequent and challenging topic. Reconstructive techniques are numerous but most of them are unable to achieve the goals of hernioplasty. Posterior component separation with transverses abdominis muscle release (TAR) is a novel approach that offers a solution for complex ventral hernias., 49613 - 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., 6 New Laparoscopic Hernia Repair Codes. CPT. Description. 49652. ... "Implantation of mesh or other prosthesis for open [emphasis added] incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection." Although the descriptors for 49560 and 49561 don't specifically reference the use of mesh, its ..., Ensure precise medical coding with these codes. Gastroparesis ICD-10-CM Codes | 2023. ... Read this short guide to learn about Ventral Hernia ICD codes you can use! Pneumobilia ICD-10-CM Codes | 2023. ... Discover ICD-10-CM codes for Hernia Repair in 2023. Find out which codes are billable and gain clinical insights in this comprehensive guide., Diagnoses and procedures are coded with the Current Procedural Terminology (CPT) codes. 16 This study included cases from the January 1, 2014 through December 31, 2016. Cases of open VHR were identified using Current Procedural Terminology (CPT) code 49560 (initial repair of reducible incisional or ventral hernia)., Methods: Using the ACS-NSQIP database between 2009 and 2012, patients were identified as having an ICD-9 diagnosis of an umbilical, ventral, or incisional hernia as well as a CPT code for a ..., Objective: Report the 2-year outcomes of a multicenter randomized controlled trial comparing robotic versus laparoscopic intraperitoneal onlay mesh ventral hernia repair. Background: Ventral hernia repair is one of the most common operations performed by general surgeons. To our knowledge, no studies have been published to date comparing long-term outcomes of laparoscopic versus robotic ..., Best answers. 0. Mar 10, 2010. #2. CPT code for TAPP. Yes...49650 includes the placement of mesh into the abdominal cavity to cover the defect. L., Cpt Code For Inguinal Hernia Repair 2024. Repair initial inguinal hernia, age 5 years or older; If the hernia is incarcerated or strangulated, however, 49525. 49560 (reducible) 49561 (incarcerated or strangulated). Cpt code 49525 is used when a provider performs a procedure to. Reducible 090 7.96 15.03 Table 6. Cpt ® provides just one code, Best answers. 0. Jan 19, 2012. #2. Maybe: 44202-52 (-52 for no anastomosis) OR 44238 with 49653 (-51 if needed). I don't see any edits for these codes so I'd bill it. Payer might have a policy but I appeal with info below. CPT Assistant June '08 states "Hernia repair codes report the repair of the hernia only., Patients were identified by CPT codes for incarcerated ventral or inguinal hernia repair (49507, 49521, 49553, 49557, 49561, 49566, 49568, 49572, and 49587). Exclusion criteria were age < 18, duration of symptoms > 4 days, contaminated or dirty wound class (e.g. gross spillage of enteric contents), prior herniorrhaphy within 30 days ..., Lima, Ohio. Best answers. 0. Oct 9, 2014. #1. My surgeon performed a Hybrid Hernia Repair. This is an open umbilical hernia repair (incarcerated) with robotic laparoscopic mesh placement. This type of procedure was planned. He started as open and then converted it to laparoscopic., There are thousands of existing codes that are updated each October. The current version is CPT 2018. But with thousands of codes out there at any given time, how can medical profe...