Confused with hernia repair. Am looking for Initial Open Inguinal Repair with mesh for a 30 yr old. Am torn between 49505 & 49591. HELP!!
-
Register to Access the Free Forums and 3 Free CEUs!
To view the content for the 3 free CEUs, please sign up today.
CLICK HERE TO REGISTER -
Missing Access To A Course, Blitz or Exam? Have Technical Issues? Open a Help Desk Ticket
Please Do Not Post in the Community About Access or Technical Issues
CCO Business Hours for Help Desk and Coaching: Mon-Fri 9am-4pm Eastern
Resolved Open inguinal hernia repair
- Thread starter ToniM_13794
- Start date
49505-
In 49505, a reducible hernia in which the contents of the hernia sac can be pushed back into normal position, is repaired. In 49507, an incarcerated or strangulated hernia is repaired. Incarcerated hernia tissue cannot be pushed back into its normal position. Strangulated hernias are those in which circulation is compromised. An incision is made over the internal ring. The skin, fat, and subcutaneous fascia are incised down to the aponeurosis of the external oblique muscle. The external ring is identified and the external oblique aponeurosis is slit. The internal ring is opened and the inguinal canal is exposed. In males, the spermatic cord and its covering are mobilized and the covering is removed. The hernia sac is dissected free into the retroperitoneum, opened, and inspected for the presence of bowel or bladder wall. Any bowel or bladder content is reduced (pushed back into the abdominal cavity) and the hernia sac is transected and inverted into the abdominal cavity. A mesh plug may be placed to reinforce the repair.
Points to note:
In 49505, a reducible hernia in which the contents of the hernia sac can be pushed back into normal position, is repaired. In 49507, an incarcerated or strangulated hernia is repaired. Incarcerated hernia tissue cannot be pushed back into its normal position. Strangulated hernias are those in which circulation is compromised. An incision is made over the internal ring. The skin, fat, and subcutaneous fascia are incised down to the aponeurosis of the external oblique muscle. The external ring is identified and the external oblique aponeurosis is slit. The internal ring is opened and the inguinal canal is exposed. In males, the spermatic cord and its covering are mobilized and the covering is removed. The hernia sac is dissected free into the retroperitoneum, opened, and inspected for the presence of bowel or bladder wall. Any bowel or bladder content is reduced (pushed back into the abdominal cavity) and the hernia sac is transected and inverted into the abdominal cavity. A mesh plug may be placed to reinforce the repair.
Points to note:
- These CPT procedures have a 90-day global period
- Mesh placement is billable only for ventral and incisional hernia
- Code 49568 should be listed separately in addition to code for the incisional or ventral hernia repair
- The appropriate proper location/site modifier can be used whenever it is applicable (for instance, LT for Left Side and RT for Right Side)
are these practice exams current for 2023
Yes, we've already updated the CPC paid exams for 2023. The free CPC exams are currently being updated.
thank you for getting back to me