tci General Surgery Coding Alert - 2010 Issue 10

Reader Questions: 49560-49566 Hernia Codes May Bundle With Bowel Excision

Question: I read your You Be the Coder about a hernia repair and bowel repair in the Vol. 12, No. 8 issue. Is the reason for not billing both the right inguinal incarcerated hernia and ischemic  bowel because the documentation doesn't state the bowel was strangulated/ incarcerated in the hernia? Per CPT guidelines "the excision/ repair of strangulated organs or structures such as testicle(s), intestine, ovaries are reported by using the appropriate code for the excision/repair (e.g., 44120, 54520, and 58940) in addition to the appropriate code for the repair of the strangulated hernia." Florida SubscriberAnswer: Although...

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