• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki 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 !
 
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