Wiki STOPPA procedure for bilat recurrent inguinal hernia

[vkratzer]

Has anybody billed for this type of procedure? If so, what codes did you use? The Stoppa repair is a tension free type of hernia repair. It is performed by wrapping the lower part of the parietal peritoneum with prosthetic mesh and placing it at a preperitoneal level over Fruchauds myopectineal orifice.

Vicky

 

[ShenVallGal]

I have not billed for a STOPPA repair, which I understand is done as an open repair, but they say the TAPP procedure is the laproscopic equivelant to it, and I do bill those with the regular lap hernia codes. so, wouldn't you bill 49520 or 49521-with modifier 50-depending if the hernia(s) is incarcerated, or obstructed?

 

[vkratzer]

I was thinking the same thing, but the doctor says it is much more involved and thinks we should have another code or additional code. I suggested adding a 22 modifier. Thanks for your in put.

 

[colorectal surgeon]

I was thinking the same thing, but the doctor says it is much more involved and thinks we should have another code or additional code. I suggested adding a 22 modifier. Thanks for your in put.

I wish I could find codes to use when a procedure is more difficult than other options. The 22 modifier just doesn't cut it, but I guess that's the rules. Unfortunately, it's still repair of bilateral inguinal hernias, recurrent.