Hernia repair with Amyand Hernia - & Appendectomy

Hulah

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Hello,
Our physician performed an "incarcerated right inguinal hernia repair;" his report indicates the patient had a rare Amyand hernia which is an inguinal hernia with the presence of an appendix.
He said to bill for the hernia repair and appendectomy. I was wondering if anyone else has ever seen this?
Not sure how to proceed with this one.
Thank you
Hulah Gorby, CPC
 

CodingKing

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Per NCCI you may run into an issue as an incidental appendectomy of a normal appendix during another abdominal procedure is not separately reportable. Its a normal appendix (has not become inflamed or ruptured), its just moved into the wrong place due to the hernia.
 
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