tci General Surgery Coding Alert - 2020 Issue Q2

Reader Question: Bundle Hernia Repair

Question: Our surgeon performed a laparoscopic liver biopsy, and during closure, the surgeon documented repairing an existing incisional hernia. Should we code both procedures? Texas Subscriber Answer: You should report the laparoscopic liver biopsy using an unlisted code, because CPT® does not provide a specific code for that procedure. Use 47379 (Unlisted laparoscopic procedure, liver). When incisional hernia repair is done during another laparoscopic surgery and is “incidental,” you should not report a separate code for that work, according to CPT® guidelines. In this case, you should not bill 49654 (Laparoscopy, surgical, repair, incisional hernia (includes mesh...

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