Hernia repair with mesh

uwalia

New
Messages
9
Best answers
0
Hi Everyone
CPT coding allows extra code for mesh placement for incisional and ventral hernia , but not for umbilical hernia. Any thoughts on why umbilical hernia repair is not compensated extra for mesh.
thank you all !
 

cgaston

Expert
Messages
494
Location
Clarence, NY
Best answers
0
I believe things get bundled because they are performed in over 80% of cases being billed.

Mesh was being used in over 80% of umbilical hernia repairs, so it was determined that the mesh is integral to the procedure and, therefore, not separately reimbursable.

I believe that it is just a matter of time before they include mesh in all hernia codes but that is just IMHO.
 
Top