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Wiki Multiple Ventral Hernias - How would you code for multiple

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andi

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How would you code for multiple ventral hernias. We have been denied by insurance that since same incision you can not bill for each hernia?
 
ONE incision = ONE repair

If you had only one incision for the repair, you have only one repair (even if there was more than one ventral hernia present).

Hope that helps.

F Tessa Bartels, CPC, CEMC
 
Hi Andi,

Does your documentation support the appending of modifier 22, increased procedural services, for your repair?
 
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