Results 1 to 2 of 2

Femoral Hernia open or closed???

  1. #1
    Default Femoral Hernia open or closed???
    Medical Coding Books
    The scalpel was used to make an infraumbilical incision. This was carried down through subcutaneous tissue to the fascia, and the fascia was entered. Once this was done, a 5 mm port was placed using Hasson technique. Pneumoperitoneum was obtained, and the camera was introduced into the abdominal cavity. A second 5 mm port was then placed in the right lower quadrant, as well as a 10 mm port was placed in the left lower quadrant. Once this was done, the patient had some adhesions of his cecum up to the abdominal wall. This was taken down sharply with Metzenbaum scissors.

    Once this was done, the bowels were easily freed from the abdominal wall. The Metzenbaum scissors with Bovie cautery were then used to make an incision into the peritoneum, and a peritoneal flap was then created. The cord structures were dissected free from the surrounding peritoneum. The epigastric vessels were detected up against the abdominal wall. This was carried on down to the inguinal vein and artery were identified, as well as the hernia was then identified. There was a large amount of fat that was pulled back to the abdominal cavity.

    Once this was done, he still had a large amount of fat that was incarcerated into the hernia sac that was not able to be reduced laparoscopically. The scalpel was then used to make a counter incision in his right groin over the incarcerated fat. Once this was done, the incarcerated adipose tissue was then identified, and dissected free of the surrounding tissues and transected.

    Once this was done, the patient had an obvious tract from his abdominal cavity into this femoral hernia. The defect was then closed through this counter incision with 0 Vicryl stitches. Once this space was obliterated, the skin was then reapproximated in two layers, first with interrupted 3-0 Vicryl, then with a running 4-0 Monocryl subcuticular stitch

    am I looking at 49553 or is it still lap any opinions who help'

  2. #2
    Milwaukee WI
    Default Open
    I would use the open hernia repair code for this.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Femoral Hernia
    By mmelcam in forum General Surgery
    Replies: 4
    Last Post: 01-08-2015, 03:41 AM
  2. Inguinal and femoral hernia
    By ms123 in forum Outpatient Facilities
    Replies: 4
    Last Post: 07-21-2014, 02:00 PM
  3. Bilateral lap inguinal hernia and open hernia repair
    By tlivengo in forum General Surgery
    Replies: 1
    Last Post: 04-23-2014, 09:58 AM
  4. 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.