The McVay (Cooper Ligament) approach is popular for larger inguinal hernias and direct or recurrent hernias.
Whereas the Bassini approach used to be a popular approach but is not used as often today due to the tensionfree approach. It is used for indirect inguinal hernias and small direct hernias.
The Halstead-Ferguson technique transplants the spermatic cord
externally to the external oblique. This leaves the cord in the normal anatomical position.
For coding purpose, it is better we do not confuse ourselves with such terms. But all that we would know is that it is a procedure for direct, large and recurrent hernias.
So kindly check if there is a document showing recurrence, or incarceration/strangulation of an inguinal hernia for our code selection.. Presence of mesh there and its removal implies it was recurrent.
[This following info is optional to know at this juncture: Cooper Ligament approach is popular for larger inguinal hernias and direct or recurrent hernias. It involves suturing the conjoined tendon to the Cooper ligament from the pubic tubercle laterally to the
femoral canal. The femoral canal must be narrowed for this approach. The repair is extended from the femoral canal to the Coopers ligament anteriorly so that the conjoined tendon is tied to the inguinal ligament past the canal. The internal inguinal ring is then recreated with a space large enough to fit the tip of a Kelly clamp. ]
I hope this throws some light on our dilemma in coding.
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