Wiki Bilateral inguinal hernia/one side repaired - I have an op report that has Pre and Po

shellabell32

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I have an op report that has Pre and Postoperative diagnosis of bilateral inguinal hernia, but they only repaired the Lt side because the right was not causing patient issues and the patient did not want it done (had to be done open). For the dx would I code it as bilateral or unilateral?

Thanks!!!
 
If the left side was the only side that was repaired, then the left side is the diagnosis that was attended to. It would be the same if the patient had bilateral osteoarthritis but only the left knee was replaced. You code the diagnosis that supports the procedure.
 
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