Results 1 to 3 of 3

reducible vs incarcerated hernia repair?

  1. Default reducible vs incarcerated hernia repair?
    Medical Coding Books
    Would you say this is 49505 for reducible or is it an incarerated repair???

    dx: Inguinal hernia

    incision brought down through the skin and subcutaneous tissues to Scarpa's. Any oozing was stopped with a bovie cautery, and self retaining retractors placed. The subcutaneous tissue is now dissected off of the anerior rectus and the external oblique fascia, exposing the roof of the canal and exposing the inguinal ligament, and the external ring. The external is opened in the direction of its fibers into the canal. We avoid any injury to the nerve roots as we open the oblique through the external ring, and lateral pass the internal ring. Self retaining retractors were adjusted. The spermatic cord and filaments are dissect4d away from fascial attachments and surrounded with a penrose drain. A large lipoma of the cord, associated with an indirect hernia, is dissected away from the cord strucutures. It contains a sliding component of preperitoneal fat. The hernia sac is opened. The fat is dissected off the hernia wall and reduced into the abdomen. we then put a pursestring through the base of the hernia sac of 0 ethibond and wer tie this. the sac is then transected with cautery, distal to the suture. we then oversew the stump of the sac.

    thank you

  2. #2

  3. Default
    The following is a response I got from the coding forum at, I'm still confused between the two????

    The following seems to indicate that just because the hernia sac is opened is the main reason why a hernia repair is considered "incarcerated"

    Opening the hernial sac is the key factor followed by additional resections and ligations in case of Incarcerated hernia repair which is the case here, and not 49505.

Similar Threads

  1. Hernia reducible v incarcerated or strangulated
    By jewlz0879 in forum General Surgery
    Replies: 0
    Last Post: 12-05-2012, 08:32 AM
  2. Bowel Resection vs Incarcerated Hernia repair
    By mjewett in forum General Surgery
    Replies: 2
    Last Post: 11-20-2012, 03:23 PM
  3. Laproscopic repair of incarcerated inguinal hernia
    By Lindseywingate1990 in forum Gastroenterology
    Replies: 1
    Last Post: 05-25-2012, 01:34 PM
  4. Replies: 2
    Last Post: 02-10-2012, 05:01 PM
  5. Reducible vs Incarcerated Hernia
    By cayoung in forum General Surgery
    Replies: 3
    Last Post: 05-29-2009, 04:03 PM

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.