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Thread: Intercostal Hernai

  1. #1

    Default Intercostal Hernai

    AAPC: Back to School
    How would you code the repair of hernia left subcostal tip of 11th rib. Surgeon went in to remove what he thought was a lipoma and discovered it was a hernia, repaired it with mesh and closed. Any help would be appreciated.Thanks

  2. #2
    Join Date
    Apr 2007
    Denver CO

    Default Subcostal Hernia

    Sounds like ventral or incisional? What exactly was herniated? Can you give a little more of the actual op note? I've actually seen where the lung herniates through the rib cage so would need more detail.


  3. #3


    The op note never said what was hernaited. The surgeon states he reapproximated the fascia with 2-0 vicryl. A polypropylene mesh was fashioned to fit the space so he had approximately 2 cm overlap of the area of eventration and was secured again with 2--0 vicryl.
    his final diagnosis "Repair of hernia left subcostal tip of 11th rib"
    Thanks for any help you can supply.........ladymedic

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