Umbilical vs Ventral Repair

RainyDaze

Networker
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47
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0
I'm hoping someone could lead me in the right direction. One of my docs performed a supraumbilical hernia repair, I was always told to code as a ventral hernia (i.e. 49560), however the hospital coder has coded this procedure as an umbilical hernia (49585). I asked her about it and she emailed me a page from CPT Assistant stating that 49585 is typically at the umbilicus, but it may be above (supraumbilical) or below (infraumbilical). I tried to find something in writing to back up what I had been told, but I cannot find anything in writing. Does anyone know where I could find this information???

Thanks!
 

Stephanie Baxter

Networker
Local Chapter Officer
Messages
92
Location
Dallas Central
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Per Super Coder
Supraumbilical hernias are ventral or "abdominal wall hernias".

For a supraumbilical hernia, you would use the codes for Ventral hernia. 49560-49566 depending on the type of hernia.
 
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