tci Part B Insider - 2011 Issue 29

Reader Question: Consider Modifier 22 for Extra Work

Question: Our surgeons often encounter complicated recurrent ventral hernia repairs that involve infection. Can we bill for the mesh removal and new mesh placement in addition to the recurrent ventral hernia repair code?Answer: Whether the mesh placement is separately chargeable depends on the surgical approach. There is no separate code for mesh removal involved in repair of a recurrent ventral hernia.Do this for open surgery: If the recurrent ventral hernia repair is open, you can bill for the repair and the new mesh placement using two separate codes. Bill for the hernia repair using one of the...

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