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code for mesh-inguinal hernia

  1. #1
    Quincy, MA
    Medical Coding Books
    Mesh cannot be reported separately for inguinal/femoral hernia repairs, it's included.
    Leanne, CPC
    General/Vascular Surgery

  2. #2
    Albany, New York
    There are separate ICD-9 procedure codes for inguinal hernia/ femoral hernia repairs w/ mesh, but not additional CPT codes for those procedures.
    Karen Maloney, CPC
    Data Quality Specialist

  3. #3
    on page 220 of the 2009 CPT PROFESSION ED.... it states that " with the exception of the incisional hernia repairs(see 49560-49566) the use of mesh or other prostheses is NOT separately reported. "

    so for your inguinal/femoral repair, the mesh is included...otherwise, i usually code also the +49568 with any of the code ranges 49560-49566 ONLY

  4. #4
    depending on who you code for, the CPT's are for "insertion" of, if you are coding for a facility (ASC/Hospital) you can capture it with C1781.

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