AAPC - Back to school
Results 1 to 3 of 3

Thread: Need help coding LapChole & Umb Hernia

  1. #1

    Default Need help coding LapChole & Umb Hernia

    AAPC: Back to School
    HI! Wondering if you can code a lap chole & umb. hernia. I put
    it through Encoder Pro and it did not bundle; however ins company is
    denying as being inclusive. TIA
    Deb, CPC

  2. #2


    CCI edits show that they can be billed together, however, some insurance carriers use their own claims check system. I know BCBS, Aetna and UHC all have their own claims checks and will not pay if their systems bundles them. You can try appealing using CMS guidelines. Good luck!

  3. #3


    In order for the umbilical hernia to be payable the op note will need to indicate that it was a separately identifiable procedure. In general, the repair of the umbilical hernia is a necessary part of the lap chole closure (the umbilical incision for the lap chole cannot be closed without repairing the hernia) therefore is not separately payable.

Similar Threads

  1. Hernia repair & q-pump insertion
    By ksb0211 in forum General Surgery
    Replies: 2
    Last Post: 08-02-2012, 03:24 PM
  2. Need help-complicated hernia & seroma
    By fscourtney in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-29-2011, 10:19 AM
  3. Lap Chole Conv.to Open with Inc.umb hernia
    By Hopp in forum General Surgery
    Replies: 0
    Last Post: 05-18-2011, 07:15 AM
  4. Strangulated Umb hernia w/ excision of bowel
    By LindaEV in forum General Surgery
    Replies: 1
    Last Post: 07-23-2010, 12:29 PM
  5. Lap chole w incidental umb hernia
    By vkratzer in forum General Surgery
    Replies: 1
    Last Post: 04-19-2010, 09:42 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.