AMA CPT® Assistant - 2005 Issue 11 (November)

Surgery: Digestive System (November 2005)

November 2005 page 15a Coding Consultation:Questions and Answers Digestive System, 49568, 49659 (Q&A) Question Is it appropriate to report add-on code 49568, Implantation of mesh or other prosthesis for incisional or ventral hernia repair (List separately in addition to code for the incisional or ventral hernia repair), in addition to code 49659, Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy? AMA Comment It would not be appropriate to report code 49568 in addition to 49659 because this code describes implantation of mesh or other prosthesis for incisional or ventral hernia repair performed using an "open" approach. Code 49568 should not...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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