Wiki Lap Needle Asst Hernia

lsamuels

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Lower Burrell, PA
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Physician wants this type of hernia repair coded open. How are other pediatric practices billing for this type of hernia repair? An umbilical port is placed, and the needle/thread is fed into the inguinal area via a tiny incision, visualized, grasped, hernia looped off, port removed, skin closed with glue.
49491/49500 codes for open repairs or 49650 lap?
 
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