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lap Inguinal hernia w/ open umbilical hernia repair

  1. Question lap Inguinal hernia w/ open umbilical hernia repair
    Medical Coding Books
    Hello all,
    I have an op note in which the surgeon repairs an inguinal hernia laparoscopically (dissected and reperitonealized) and then dissects out the umbilical hernia in order to invaginate the hernia sack back into the abdomen and close the fascia. I wonder if I can bill both 49650 and 49585, or can I only bill the Lap Inguinal hernia? (I don't see that the umbilical hernia was part of the lap port site, so I'm wondering if I can bill both). Thanks in advance for your help...

  2. Default
    i'd would probably code both if its no indication

  3. #3
    Location
    Milwaukee WI
    Posts
    4,466
    Default Separate surgical sites
    IF the umbilical hernia site is NOT part of the port, then you should be able to code it separately from the inguinal hernia.

    Be sure your documentation is clear. You will likely get a denial or perhaps a request for medical records.

    F Tessa Bartels, CPC, CEMC

  4. #4
    Location
    Columbia, MO
    Posts
    12,531
    Default
    I am thinking along the same lines as Tessa, an op note would help the analysis.

    Debra A. Mitchell, MSPH, CPC-H

  5. Smile
    thank you all for your help....I was leaning towards coding both...I feel comfortable with the documentation....

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