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Thread: Incisional Hernia repair with colostomy take-down

  1. #1
    Join Date
    Apr 2007
    Location
    Philadelphia
    Posts
    118

    Default Incisional Hernia repair with colostomy take-down

    Question:
    A surgeon goes in to do a colostomy take-down at which point he identifies an incisional hernia, bill 44626 (he did a colorectal anas) + 49560? or just 44626 because I see indicator "1" on the CCI edits and that's tripping me up a little.
    K-CPC

  2. #2
    Join Date
    Apr 2007
    Location
    Atlanta
    Posts
    227

    Default

    Just repot the colostomy take down if its at the same site, see NCCI documents on hernia repairs.

    4. If a hernia repair is performed at the site of an incision for an open abdominal procedure, the hernia repair (CPT codes 49560-49566) is not separately reportable. The hernia repair is separately reportable if it is performed at a site other than the incision and is medically reasonable and necessary. An incidental hernia repair is not medically reasonable and necessary and should not be reported separately.

    MS

  3. #3
    Join Date
    Apr 2007
    Location
    Philadelphia
    Posts
    118

    Default

    Thanks!
    K-CPC

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