Hernia repair surgery or
herniorrhaphy
involves returning the displaced tissues to their proper position. Hernioplasty is a type of hernia repair surgery where a mesh patch is sewn over the weakened region of tissue. Hernia repair surgery is one of the most common surgeries to be performed.
When do we code mesh in hernia repair?
Placement of mesh (
49568
) is an add-on code for incisional or ventral hernia repairs, performed via an open approach. The range of codes that CPT
®
code 49568 may be reported with is 49560—49566. The facility may bill for mesh in other cases, but there is not a separate physician charge.
How do you code hernia repair?
The hernia repair codes and code
15734
include simple repair (12001–12007), intermediate repair (12031–12037), and/or complex repair (13100–13102) of skin and subcutaneous tissues. These codes should not be reported separately when the procedures are performed in conjunction with a hernia repair.
Is hernia repair considered surgery?
A hernia repair
returns the organ or structure to its proper place
and fixes the weakened area of muscle or tissue. A hernia repair is a common but major surgery with significant risks and potential complications. You may have less invasive treatment options available.
What is the difference between CPT 49652 and 49654?
For a hernia at the site of a previous surgical incision, select from among the incisional hernia repair codes 49654 to 49657. … For example, 49652 specifies
repair of reducible ventral, umbilical, spigelian or epigastric hernias
, while 49653 describes repair of incarcerated or strangulated hernias of identical types.
What is a visceral hernia?
A ventral hernia is a
bulge
of tissues through an opening of weakness within your abdominal wall muscles. It can occur at any location on your abdominal wall. Many are called incisional hernias because they form at the healed site of past surgical incisions.
Does CPT code 49650 include mesh?
The use of mesh or other prosthesis is considered inherent to
all laparoscopic hernia repairs
(49650–49657) and to some of the open hernia repair codes, including inguinal (49491–49525), lumbar (49540), femoral (49550–49557), epigastric (49570–49572), umbilical (49580–49587), and spigelian (49590).
Is a hernia operation serious?
This type of operation is normally very safe. But like all surgeries, having your hernia removed comes with a number of possible complications. They include:
Infection of the wound
.
Which type of hernia surgery is best?
The open surgical repair of primary inguinal hernias is better than the laparoscopic technique for mesh repair, a new study has shown (New England Journal of Medicine 2004;350: 1819-27 [PubMed] [Google Scholar]).
Can I push to poop after hernia surgery?
As long as you are not nauseated or having abdominal pain, this variation is acceptable. Constipation can occur after this operation, and taking
milk of magnesia
(two tablespoons; twice a day) can prevent this issue. Some patients find that their hernia returns right after surgery.
Why is my stomach bigger after hernia surgery?
A swelling after abdominal wall repair
can be caused by bulging of the mesh
. A progressive bulging might be the result of failure of the mesh implant due to elongation. Mesh characteristics should be considered when choosing a feasible and suitable mesh for abdominal wall reconstruction.
Can you walk after hernia surgery?
There are no medical or physical restrictions on activity after surgery
. That means it is OK to walk, climb stairs, lift, have sexual intercourse, mow the lawn, or exercise as long as it doesn't hurt. In fact, returning to normal activity as soon as possible will most likely enhance your recovery.
What is the fastest way to recover from hernia surgery?
- Rest when you feel tired.
- You may shower 24 to 48 hours after surgery, if your doctor okays it. Pat the incision dry. …
- Allow the area to heal. …
- Be active. …
- You most likely can return to light activity after 1 to 3 weeks, depending on the type of surgery you had.
Does CPT 49650 need a modifier?
CPT code 49650 is defined as “Laparoscopy, surgical; repair initial inguinal hernia”. The requestor
appended modifier “LT-Left Side
” to code 49650.
What is a separate procedure code?
CPT “Separate procedure” definition: The narrative for many HCPCS/CPT codes includes a parenthetical statement that the procedure represents a “separate procedure”. The inclusion of this statement indicates that the
procedure can be performed separately
but should not be reported when a related service is performed.
What is a Supraumbilical hernia?
A supraumbilical hernia is
a hernia just above the bellybutton
. The bellybutton skin is often normally tethered but then bulges out on its top side. A supraumbilical hernia is actually a specific type of epigastric hernia rather than a type of umbilical hernia.
