AAPC - Back to school
Results 1 to 2 of 2

Thread: Hernia???? please advise....

  1. #1

    Default Hernia???? please advise....

    AAPC: Back to School
    The midabdomen was prepped and draped in sterile fashion, and local anesthesia was obtained by infiltration of half percent Marcaine and 1% lidocaine mix into the skin and subcutaneous tissue. A small curved incision was made just above the umbilical dimple and carried in the subcutaneous tissue this dissection was carried down to the level of the fascia and no obvious hernia mass is encountered at that point. The skin of the umbilical defect was mobilized and there was a tiny fascial defect just below the skin margin where a small nodule of intraperitoneal fat protruded in the midline. This fascial defect was circumferentially dissected it was quite tiny, less than a centimeter across. No other abnormalities were noted, so this defect was closed with a single figure-of-eight suture of heavy nylon suture. The umbilical skin is tacked to the suture line with a small absorbable suture, and subcutaneous tissue and skin are then closed with fine absorbable suture

    I am unsure if I code this as a hernia repair? I would like someones opinion, the reason is he says that nodule of intraperitoneal fat PROTRUDED to me means hernia right? "A hernia is the protrusion of an organ or the fascia of an organ through the wall of the cavity that normally contains it" hence my reasoning to use the hernia code
    Last edited by ASC CODER; 07-06-2010 at 10:51 AM.

  2. #2


    Yes, a fascial defect w/ intraperitoneal fat protruding thru it is a hernia, and you can indeed code a hernia repair.

Similar Threads

  1. Bilateral lap inguinal hernia and open hernia repair
    By tlivengo in forum General Surgery
    Replies: 1
    Last Post: 04-23-2014, 09:58 AM
  2. Replies: 3
    Last Post: 05-10-2012, 07:08 AM
  3. Replies: 0
    Last Post: 03-21-2012, 10:12 AM
  4. Ventral hernia, incidental umbilical hernia, can bill for mesh?
    By trinalankford in forum General Surgery
    Replies: 4
    Last Post: 03-01-2011, 10:40 AM
  5. lap Inguinal hernia w/ open umbilical hernia repair
    By ihaghighat in forum General Surgery
    Replies: 4
    Last Post: 09-30-2009, 05:55 AM

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.