AAPC - Back to school
Results 1 to 2 of 2

Thread: Questionable hernia repair

  1. #1
    Join Date
    Apr 2007
    Redding, CA

    Default Questionable hernia repair

    AAPC: Back to School
    I know I'm probably overthinking again, but I wanted to get other opinions before I send this one off. The doc says it's an abdominal wall hernia repair, but to me, it doesn't seem like they really did much with the hernia itself. So here's the op note.

    A vertical incision was then made. The laxity was identified, the skin is quite redundant and ther is obvious dissimilarity between the left and right side of the abdominal wall. In the portion which is external and lateral of the iliac spine, the colon was adherent and the adhesions are taken down. Seromuscular silk sutures were placed in the serosa of the colon after lysis of adhesion to ensure that there would be no possible bowel leakage. No enterotomy actually occurred, however, merely separation of the serosa where it was densely adherent to the mesh. There was no contamination of the field. The mesh was resutured to the anterior iliac area. Care taken to avoid regional nerves. Prolene sutures were utilized for this repair.

    To me, it looks like they just lysed some adhesions, and then re-sutured the mesh. I know the lysis would be 44005, but I don't know what to code for the mesh resuture, or if that is considered a recurrent hernia repair, in which case the lysis would be included. Please help! Thanks!

  2. #2
    Join Date
    Apr 2007


    kind of sounds like an abdominoplasty

Similar Threads

  1. Bilateral lap inguinal hernia and open hernia repair
    By tlivengo in forum General Surgery
    Replies: 1
    Last Post: 04-23-2014, 09:58 AM
  2. repair direct and indirect inguinal hernia repair w/mesh
    By efuhrmann in forum General Surgery
    Replies: 3
    Last Post: 09-10-2012, 08:22 AM
  3. Replies: 3
    Last Post: 05-10-2012, 07:08 AM
  4. Replies: 1
    Last Post: 08-23-2011, 02:09 PM
  5. lap Inguinal hernia w/ open umbilical hernia repair
    By ihaghighat in forum General Surgery
    Replies: 4
    Last Post: 09-30-2009, 05:55 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.