tci Outpatient Facility Coding Alert - 2019 Issue 4

Reader Question: Go Unlisted With Femoral Hernia Repairs

Question: What CPT® codes should I use to report a laparoscopic bilateral inguinal hernia repair and a right-sided femoral hernia repair also done laparoscopically? Arkansas Subscriber Answer: The answer depends on whether your physician is repairing an initial or recurrent inguinal hernia. Since the femoral hernia is being laparoscopically repaired, you do not need to consider whether the femoral hernia is reducible, strangulated, or incarcerated — or initial or recurrent. Assuming that you are reporting codes for an initial bilateral laparoscopic inguinal hernia repair, you will report the following codes: 49650-LT (Left Side) — Laparoscopy, surgical; repair initial inguinal...

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