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Hybrid Hernia Repair

  1. #1
    Location
    Lima, Ohio
    Posts
    21
    Default Hybrid Hernia Repair
    Medical Coding Books
    My surgeon performed a Hybrid Hernia Repair. This is an open umbilical hernia repair (incarcerated) with robotic laparoscopic mesh placement. This type of procedure was planned. He started as open and then converted it to laparoscopic.
    Any suggestions on coding it?
    Should I go with the open (49587) or the laparoscopic code (49653)?

    Thanks

  2. #2
    Location
    Quincy, MA
    Posts
    62
    Default
    Code as open 49587 w/ ICD V64.41.
    Leanne, CPC
    General/Vascular Surgery

  3. #3
    Location
    Lima, Ohio
    Posts
    21
    Default
    Should I use V64.41? That code is "Laparoscopic surgical procedure converted to open procedure." My procedure is in the opposite order and he planned on doing both methods prior to the surgery?

  4. #4
    Default
    I would code as open.......no vcode

  5. Default Hybrid Hernia
    My doctor is doing a lot of hybrid hernia repairs. I have searched the web day and night and have not found any answers on how to code it. I stumbled through your thread and would like to know how did you code the hybrid.
    Thanks a lot.

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