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Thread: Help on inguinal hernia repairs

  1. #1

    Default Help on inguinal hernia repairs

    AAPC: Back to School
    Can we bill for Goretex Mesh with inguinal Hernias? Use L8699? Also, is lipoma of the cord allowed to be billed with hernia procedure?

    Appreciate any information.

    Vickie Mounce

  2. #2


    Per commerical contracts we bill mesh....see C1781
    CPT 55520 bundles per CCI edits but can break out with 59 if separate.

  3. #3


    yes you do bill the lipoma BUT it has to be seperate from the hernia. Not conected!

  4. #4


    So, if it is same incision it is still okay to bill for inguinal hernia and lipoma of the cord?

    This really confuses me.


  5. #5


    I don't

  6. #6


    Yes, this has been disputed....

    Per General Surgery Alert (Jan 2008) Question

    Is Lipoma Excision Separate with Hernia Repair?
    Question: During an inguinal hernia repair (49505) with mesh, the surgeon preforms an excision of a lipoma of the spermatic cord. Should I report an additional code for the excision? The pathology report shows the specimen is a "hernia sac" and final diagnosis is "fibroadipose tissue". Pennsylvania Subscriber

    Answer: Code 55520 (Excision of lesion of spermatic cord -separate procedure) properly describes excisions of the type your surgeon performed. But 55520 is a designated "separate procedure" that occurs here with a related primary procedure, the hernia repair 49505 (Repair initial inguinal hernia, age 5 yrs or older; reducible). Therefore, correct coding dictates that you bundle the excision into the hernia repair.
    In short: You would report only the hernia repair, as usual, using 49505, with no additional code for the excision of the spermatic cord lipoma.

    I did notice 55520 now bundles per CCI Version 17.1 (April 2011)

  7. #7
    Join Date
    Apr 2007


    glad to know this ,thanks,guess info I had was outdated- SORRY-deleted info
    Last edited by codedog; 10-14-2011 at 08:40 AM.

  8. #8


    thanks for the updated info

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