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Multiple Ventral Hernias - How would you code for multiple

  1. #1
    Question Multiple Ventral Hernias - How would you code for multiple
    Medical Coding Books
    How would you code for multiple ventral hernias. We have been denied by insurance that since same incision you can not bill for each hernia?
    Andi M.
    CPC

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default ONE incision = ONE repair
    If you had only one incision for the repair, you have only one repair (even if there was more than one ventral hernia present).

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Default
    What about if a patient has an incisional (midline) hernia and a parastomal hernia? There is no ICD-9 code for parastomal hernia.

  4. #4
    Default
    Hi Andi,

    Does your documentation support the appending of modifier 22, increased procedural services, for your repair?

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