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Lap inguinal hernia repair with open umbilical hernia repair

dkanewi1

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Provider performed a laparoscopic inguinal hernia repair, removed the scope then extended the infraumbilical incision and repaired the umbilical hernia. He wants to bill a 49650 for the lap ing repair and a 49585 for the open umb repair? I thought if it's not a new incision, the umb repair is incidental to the lap ing repair? Help
 
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