AHA Coding Clinic® for HCPCS - 2010 Issue 4; ASK the EDITOR

Multiple hernia repair

A patient presents for repair of an umbilical hernia. The umbilical hernia sac was removed and the omentum was placed into the abdomen. Finger palpation revealed a small ventral hernia with a fascial bridge between both the umbilical and ventral hernias. The fascial bridge was transected making one large defect. The fascial defect was repaired with a mesh patch which was sutured in place. The patient tolerated the procedure well. Our facility wants to know whether it is appropriate to report the repair of two hernias through the same incision. ...

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