AAPC - Back to school
Results 1 to 3 of 3

Thread: incarcerated vs reduced (again)

  1. #1
    Join Date
    Apr 2007
    Bangor, Maine

    Default incarcerated vs reduced (again)

    AAPC: Back to School
    I have an op note causing a little disagreement among my colleagues. One says reduced and one differs from that and say incarcerated.

    "oblique was incised with a #15 blade and was opened into the external ring with Metzenbaum scissors. Cold strips were elevated with penrose drain and surface was made for internal hernia sac. The sac was identified and carefully dissected off cord structures with blunt dissection and electrocautery. once the hernia sac was localized to the level of the internal ring it was opened with metzenbaum scissors. It was seen to contain sigmoid colon. There are a few adhesions. Colic fat to inside of the hernia sac. These were taken down with electrocautery and the colon was reduced. Hernia sac was ligated with 3-0 vicryl suture and the sac was amputated and handed off. A medium PerFix plug was used to butress a ____* central ring and was tacked to the transverse ____* arch and tiliting edge of the inguinal ligament with 0 prolene......"

    Anyone want to weigh in?
    Last edited by LTibbetts; 07-30-2009 at 10:40 AM.

  2. #2


    Colic fat to inside ot the hernia sac indicates this hernia is incarcerated.

  3. #3
    Join Date
    Apr 2007
    Bangor, Maine


    Excellent..thank you so much. That was my point exactly! I just needed that back-up confirmation. Now I just need to convince the provider of that...

Similar Threads

  1. Incarcerated v.s. Non-Carcerated
    By ruthan in forum Diagnosis Coding
    Replies: 3
    Last Post: 04-15-2015, 09:59 AM
  2. reduced services??
    By lindaf in forum Gastroenterology
    Replies: 2
    Last Post: 06-19-2012, 02:26 PM
  3. incarcerated hernia
    By cmartin in forum General Surgery
    Replies: 0
    Last Post: 02-20-2012, 11:34 AM
  4. Reduced service
    By mmagness in forum Modifiers
    Replies: 0
    Last Post: 02-18-2009, 08:09 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.