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Wiki Open hernia repair with laparoscopic mesh placement

lilleyea

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Chesapeake, VA
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If a surgeon performs an open repair of incisional or ventral hernia (49560-49566) and then places mesh laparoscopically, could this be billed as 49568? I know it is in the open section, but the code description only states "implantation of mesh or other prosthesis for open incisional or ventral hernia repair...", and the hernia repair was open. In order to report 49568 does the mesh placement have to be open also or can it be performed laparoscopic? Also, if the mesh was placed laparoscopic, should the entire hernia repair be reported with a laparoscopic code?

Does anyone have an actual source on this they could copy or link?

Thank you!
 
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