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Recurrent incarcerated inguinal hernia / Incarceration in the bowel

  1. Default Recurrent incarcerated inguinal hernia / Incarceration in the bowel
    Medical Coding Books
    Should we only bill 49521 for the following two operations:

    1. Repair of recurrent incarcerated inguinal hernia using plug and a mesh.

    2. Release of incarceration in the bowel.

    Can we also bill 44005? CCI edits says i cannot do this. Is there another code i am missing?

    Thanks
    Apurva

  2. #2
    Location
    Johnson City
    Posts
    202
    Default
    You can only bill 49521. Lysis of adhesions is bundled into code 49521. The mesh code is not billable when used to repair an inguinal hernia. See the note in the CPT book under code 49568 use in conjuction with 11004-11006, 49560-49566. I wish they would changed that rule b/c our doctors use mesh for many types of hernia repairs not just incisional or ventral.
    Hope this helps.

  3. Default
    I am told the reason that we can not bill for the mesh is because it is already considered in the price of the hernias. The only ones that we can bill separately for are the incisional and ventral hernias.

  4. Default surgical coding tips
    Quote Originally Posted by Monika Liddle View Post
    I am told the reason that we can not bill for the mesh is because it is already considered in the price of the hernias. The only ones that we can bill separately for are the incisional and ventral hernias.
    Hi Monika,
    Surgical cpt's are my weakness when it comes to diagnostics (lapartomy) as to when to include and when not to...Do you have any tips on ways to grasp the concept of surgical coding...thank you
    Last edited by valdenise38; 12-11-2008 at 01:28 AM.

  5. #5
    Default
    Can you bill for the mesh itself as an implant?

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