CPT^® 49520, Under Hernia Open Procedures

The Current Procedural Terminology (CPT^®) code 49520 as maintained by American Medical Association, is a medical procedural code under the range - Hernia Open Procedures.

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Summary

In this procedure, the provider surgically repairs a recurrent inguinal hernia that is reducible. The patient may be of any age.

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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 ]

Inguinal Hernia Repair? Need Help with Codes

[b]Would you code as just an Inguinal Repair 49520?[/b] DESCRIPTION OF PROCEDURE: The left inguinal area was prepped and draped in standard sterile fashion. The tender bulge of the left inguinal ca... [ Read More ]

Placement of Inguinal Mesh without hernia repair

I think you have two choices that I can see here - you can code this for the excision of the cord lipoma with CPT 55520 and consider the mesh inclusive to the procedure (as it would be for an open ing... [ Read More ]

Removal of Mesh, Repair of Recurrent inguinal hernia and Excision of Sinus Tract

The following operative report came across my desk and the surgeon wanted to bill 49520-22 with 20780 for the removal of the mesh. My first response was that 20780 is not an appropriate code for mesh... [ Read More ]

need a little guidance please

Need help coding please. Doc performed an open repair of right recurrent inguinal hernia with a defect near femoral vein. He also did an inguinal lymph node biopsy. I am thinking I can only bill 49... [ Read More ]

Help with op report

Without knowing the exact date of second surgery, I would say that this is in a global period. The only code that myself and my class could find is the 49520 with modifier 78. Even though this is an... [ Read More ]

Repair Inguinal herina

[b]Irreducible hernia[/b] We are having a discussion with hospital coders regarding irreducible hernia's. I agree that they are considered incarcerated according to the ICD-9 book. But their encode... [ Read More ]

Attempted Lap, TAH/BSO/BURCH w/ lyssis of adhesions, B. Herina repair

:confused:Does anyone know if the attempted Lap would be coded here? Also, would you code the B. Inguinal Heria as 49520 LT and 49520 59, RT? I plan on using 58152-22 for the TAH/BSO/BURSH w/lysi... [ Read More ]

Attempted hernia, exploration of r groin

Patient was scheduled for r inguinal hernia repair. The hospital has stated that this should be billed as a 49520 (repair recurrent inguinal hernia). I am just wondering if anyone else has any opini... [ Read More ]

Exploration groin, excision of mass

I'm hoping for some confirmation on this one. I had one coder express the opinion that this should be billed as 49520 (recurrent inguinal hernia repair) due to the pathology report (below op report).... [ Read More ]

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