tci General Surgery Coding Alert - 2023 Issue Q2

Reader Questions: Capture Mesh Removal

Question: Do the new anterior abdominal hernia repair codes include removal of mesh, if performed? Florida Subscriber Answer: Although new codes 49591-49618 ((Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic) …) include mesh implantation, when performed, the codes don’t include mesh removal. CPT® 2023 provides a new add-on code for that service: +49623 (Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparoscopic, robotic) (List separately in...

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