Wiki LAPROSCOPIC APPENDECTOMY AND REPAIR OF UMBILICAL HERNIA

[dhorne27]

I AM WONDERING IF I CAN BILL FOR THE HERNIA REPAIR ALSO?
THANK YOU FOR ANY HELP YOU CAN OFFER.

 

[monbel]

Per NCCI manual: If a hernia repair is performed at the site of an incision for an open or laparoscopic abdominal procedure, the hernia repair (e.g., CPT codes 49560-49566, 49652-49657) is not separately reportable. The hernia repair is separately reportable if it is performed at a site other than the incision and is medically reasonable and necessary. An incidental hernia repair is not medically reasonable and necessary and shall not be reported separately.