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2 ventral hernias

  1. Default 2 ventral hernias
    Medical Coding Books
    Op note reads:
    Vertical incision was performed. Dissection was carried down to hernia defect, which was then noted to be approx 1cm in diameter. Just above this was a second hernia defect. There was bridge of normal tissue, approx 1cm in length, between these 2 hernia defects for a total margin of just under 2cm. Both hernia sacs excised. The fascial edges were delineated nicely. A small Ventralex mesh was secured and wound closed with 3-0 Vicryl running suture, followed by 4-0 Monocryl subcuticular closure, and Indermil for the skin.

    This sounds like one incision made and should only bill 49560 once rather than twice?

    Thanks for any help!


  2. #2
    my gut says just once
    Mary, CPC, CANPC, COSC

  3. #3
    Appears just once would be appropriate, but modifier 22 appended might be appropriate as multiple sacs are not normally encountered.


  4. Default
    Thanks for the input....Once is the way I billed :-)

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