CPT^® 49505, Under Hernia Open Procedures

The Current Procedural Terminology (CPT^®) code 49505 as maintained by American Medical Association, is a medical procedural code under the range - Hernia Open Procedures.

Additional/Related Information

Tabs

Summary

The provider repairs an initial inguinal hernia on a child, five years of age or older. She pushes the hernia back to reduce it.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2026 as well as historical information on code creation and revision.

Crosswalks

Tabs

MODIFIERS
ICD-10-CM

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 49505 ? Start a discussion here

INGUINAL HERNIA REPAIR

I would like to hear what others think about this one, and if any one has any documentation to back up their conclusions? Since the 49505 definition in the CPT book says "[I]reducible[/I]" after the 4... [ Read More ]

INGUINAL HERNIA REPAIR

so i am kind of confused. The provider states the dx as nonreducible inguinal hernia. But i dont think its incarcerated or strangulated so would i use the following codes CPT code 49505 with K4030. ... [ Read More ]

do you think 49505 is too ambiguously worded in the CPT index?

When looking at my index in my encoder it doesn't state child. It says "49505 - Repair initial inguinal hernia, age 5 years or older; reducible." However, yes some things you have to read carefully ot... [ Read More ]

do you think 49505 is too ambiguously worded in the CPT index?

I missed a code in a practicode problem and, in retrospect, I think the wording in the CPT index (not the actual code) is not the clearest. I misinterpreted it. The 30-year-old pt's procedure was: [Q... [ Read More ]

billing for inguinal hernia and spermatic cord lipoma

According to the AMA CPT Section Guidelines: CPT code 55520 If the Excision of a lesion of the spermatic cord was performed as a DISTINCT Procedure and NOT as a Component of 49505 inguinal hernia rep... [ Read More ]

billing for inguinal hernia and spermatic cord lipoma

Per CPT Assistant, September 2000 Page: 10 Category: Coding Consultation Question Would it be appropriate to report code 55520, Excision of lesion of spermatic cord (separate procedure), in addition... [ Read More ]

59 Modifier and B/C

Hello, I recently got a denial back for Blue Cross stating that they want the 59 modifier and not the XU or any "X" modifiers placed on there claims anyone have any feedback on that... This was wha... [ Read More ]

Right inguinal hernia repair with drainage of hydrocele and partial marsupialization of hydrocele sac

I need help with coding the drainage and partial marsupialization of the hydrocele sac. This was done during an open inguinal hernia repair adult male (49505). The only thing I can come up with is th... [ Read More ]

mod 51 and 59

[QUOTE="N70QW, post: 158698, member: 2814"] Can someone help me with this scenario. Claim for 49560 Repair initial incisional hernia, reducible 49561 Repair initial incisional her... [ Read More ]

Hernia repair/Inguial Nerve Scarifice

Good Morning, I am coding a surgery for Inguinal Hernia Repair with Mesh. I used CPT code 49505, the doctor also performed a Inguinal nerve sacrifice, Is this included in the repair? or can another c... [ Read More ]

View All