Results 1 to 8 of 8

Help on inguinal hernia repairs

  1. Default Help on inguinal hernia repairs
    Exam Training Packages
    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. Default
    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. Default
    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. Default
    I don't

  6. Default
    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
    glad to know this ,thanks,guess info I had was outdated- SORRY-deleted info
    Last edited by codedog; 10-14-2011 at 09:40 AM.

  8. #8
    thanks for the updated info

Similar Threads

  1. Hernia Repairs
    By jlb0807 in forum General Surgery
    Replies: 1
    Last Post: 02-05-2015, 07:09 AM
  2. Bilateral lap inguinal hernia and open hernia repair
    By tlivengo in forum General Surgery
    Replies: 1
    Last Post: 04-23-2014, 10:58 AM
  3. Hernia Repairs
    By in forum Medicare Regulations
    Replies: 0
    Last Post: 06-19-2013, 02:44 PM
  4. Replies: 3
    Last Post: 05-10-2012, 08:08 AM
  5. lap Inguinal hernia w/ open umbilical hernia repair
    By ihaghighat in forum General Surgery
    Replies: 4
    Last Post: 09-30-2009, 06:55 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.