tci General Surgery Coding Alert - 2015 Issue 4

You Be the Coder: Narrow Hernia Coding With Documented Details

Question: The surgical report documents laparoscopic repair of a reducible trocar-site hernia using mesh. The patient history indicates that the hernia has been repaired before. How should we code the surgeon’s work?   SuperCoder Subscriber Answer: Based on the information you provide, the best code for your surgeon’s work appears to be 49656 (Laparoscopy, surgical, repair, recurrent incisional hernia [includes mesh insertion, when performed]; reducible).   A trocar site hernia (TSH) is defined as an incisional hernia that occurs after minimally invasive surgery on the trocar incision site. So you’re dealing with an incisional hernia repair...

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