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Thread: Inguinal Procedure

  1. #1
    Join Date
    Apr 2007
    Posts
    10

    Question Inguinal Procedure

    Promo: Code Books
    Please tell me how you would code:

    Right inguinal exploration, right inguinal lymphadenectomy (single), placement of Kugel preperitoneal patch for inguinal floor reinforcement - no hernia, and right ilioinguinal nerve segmental resection and division (sent for pathology).

    Your assistance would be greatly appreciated.

    Thanks,
    KJett
    Kelly Jett CPC,CCS

  2. #2

    Default

    There really aren't any great codes for this. I can suggest the following:

    38500-22 (-22 for deep) for the node, 27299 for the patch and ilioinguinal nerve. Or you can look at 64772 for the resection, however, the ilioinguinal is a branch off L1 which is truly a spinal nerve.

    Possible options:
    64772
    38500-22 (Payer may consider Node as incidental to.)
    27299 (depending on value, could be more than 38500?)

    Or

    27299
    38500-22

    Next time, tell us what codes you are thinking.

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