tci General Surgery Coding Alert - 2024 Issue Q1

Reader Question: Focus Hernia Coding

Question: I’m confused about how to use the CPT®2023 codes for anterior abdominal hernias. What factors should I use to choose the correct code? Maryland Subscriber Answer: The codes you’re referring to 49591-49596 (Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s) …) for initial hernia repair and 49613-49618 ((Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other...

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