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Orchiopexy w/ hernia repair 54640 + 49505


Best answers

There has been confusion whether or not codes 54640 and 49505 can be billed together. CPT guidelines are misleading.

54640 in CPT—by definition, “Orchiopexy, inguinal approach, with or without hernia repair.” Yet, in parentheses, it states, “For inguinal hernia repair performed in conjunction with inguinal orchiopexy, see 49495-49525.”

Based on the above excerpt from CPT GL, I believe it is ok to bill both 54640 and 49505. Can you let me know your thoughts? Any feedback is much appreciated!