tci Outpatient Facility Coding Alert - 2019 Issue Q4

Reader Question: Use 2 Codes for Hydrocelectomy With Hernia Repair

Question: What’s the code for a hydrocelectomy when it’s performed with an incarcerated hernia repair on an adult patient? Colorado Subscriber Answer: For the hydrocelectomy portion of the surgery, you’ll look no further than code 55040 (Excision of hydrocele; unilateral) or 55041 (…bilateral), depending on whether the surgeon excises a hydrocele unilaterally or bilaterally. Next, you’ll look to the appropriate hernia repair code. If the operative report indicates an initial repair of an incarcerated hernia, then you’ll report code 49507 (Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated). For...

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