tci General Surgery Coding Alert - 2023 Issue Q4

You Be the Coder: Identify Site for Hernia Repair With Other Procedures

Question: The surgeon performed a laparoscopic gallbladder removal for a 37 year old female patient. During the same session, the surgeon also performed an open repair of an incarcerated 2.5 inch spigelian hernia. Can we report two procedure codes for this? Wisconsin Subscriber Answer: The typical incision sites for a laparoscopic cholecystectomy would be distinct from the semilunar line repair of a spigelian hernia. Assuming documentation of different incisions for the laparoscopic procedure and the open hernia repair, you should be able to code both procedures. The appropriate codes would be 47562 (Laparoscopy, surgical; cholecystectomy) and 49592 (Repair...

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