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Need help!

  1. #1
    Default Need help!
    Medical Coding Books
    Here's the note:
    .....a transverse incision was made over the marked side of the bulge in the abdominal wall. Eventration of mesh into an old hernia sac was noted without actual herniation or recurrence. As the mesh was a bit redundant in that location, it was imbricated back into the peritoneal cavity with far-near/near-far Prolene sutures....

    This is what I have to code from. I'm not sure what direction I should go. I guess I could go with an exploratory laporotomy, but I'm not sure I like that. Any ideas? They were going in because they thought the pt. had a recurrent abdominal wall hernia. Any help is appreciated!

  2. #2
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    Tacoma, WA
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    1,087
    Default
    Quote Originally Posted by JenReyn99 View Post
    Here's the note:
    .....a transverse incision was made over the marked side of the bulge in the abdominal wall. Eventration of mesh into an old hernia sac was noted without actual herniation or recurrence. As the mesh was a bit redundant in that location, it was imbricated back into the peritoneal cavity with far-near/near-far Prolene sutures....

    This is what I have to code from. I'm not sure what direction I should go. I guess I could go with an exploratory laporotomy, but I'm not sure I like that. Any ideas? They were going in because they thought the pt. had a recurrent abdominal wall hernia. Any help is appreciated!
    This would still qualify as a repair of a recurrent hernia. The mesh from the previous repair was intruding into the old hernia sac, they had to push it back in and resew the mesh to hold it in. You didn't state the actual location of the hernia, but I assume it was either ventral or incisional since those are the ones they typically use mesh for.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

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