tci General Surgery Coding Alert - 2001 Issue 9

Reader Question: Mesh Implantation

Question: How should I code laparoscopic repair of a ventral hernia (initial or recurrent) with placement of mesh prosthesis? Illinois Subscriber  Answer: Implantation of mesh should be billed only with an open ventral or incisional hernia, either initial or recurrent, says Elaine Elliott, CPC, an independent general surgery coding and reimbursement specialist in Jensen Beach, Fla. According to CPT, the code for mesh implantation, 49568 (implantation of mesh or other prosthesis for incisional or ventral hernia repair [list separately in addition to code for the incisional or ventral hernia repair]), is an add-on code that may be used...

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