Review of Hernia Repair Codes (Winter 1994)

Winter 1994 pages 12-17 Review of Hernia Repair Codes In CPT 1994, the hernia repair codes (49495-49611) as well as the introductory paragraph on page 313 of CPT 1994 were revised. The purpose of this article is to explain those revisions as well as many of the terms used in these code descriptions. First the text of CPT will be provided, followed by a discussion of each series of codes. A glossary of terms begins on page 16. Background Information A hernia (rupture) is the protrusion of an organ or part of an organ, through an abnormal opening (orifice)...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium article explains a Winter 1994 review of CPT hernia repair coding changes and the terminology used in that section. It is aimed at coders, billers, and other reimbursement professionals who need to understand how the 1994 CPT hernia repair section was organized and discussed. The article covers the broad categories of hernia repair, related procedural concepts, staged reporting, deleted code references, and a glossary of terms.

Why This Topic Matters

It helps readers determine whether the article is relevant to CPT-based hernia repair coding work in the 1994 timeframe and whether they need the detailed section-by-section discussion of the revised code set and associated terminology.

Article Sections

  1. Winter 1994 pages 12-17

    Publication context for the review and its placement within the Winter 1994 issue.

  2. Background Information

    General clinical background on hernias and the basic anatomical concepts used throughout the article.

  3. Types of Hernias

    Overview of the major clinical categories of hernia presentation discussed in the article.

  4. Repair

    Introductory discussion of how the hernia repair code section is organized and the factors that affect code selection at a broad level.

  5. Discussion:

    Article discussion of the introductory coding guidance and the major code groupings for hernia repair in CPT 1994.

  6. Glossary of Terms

    Definitions of terminology used in the article to support understanding of the hernia repair code section.

What You Will Learn

  • How the article frames the 1994 CPT hernia repair revisions
  • The general structure of the hernia repair code section
  • The clinical terminology used in the hernia repair discussion
  • How the article presents staged and related procedure concepts
  • Which broader hernia repair categories are covered in the review

Who Should Read This

  • Medical coders
  • Coding educators
  • Billing professionals
  • Compliance staff
  • Revenue cycle professionals

Codes Discussed

Code Ranges Discussed

Modifiers Discussed


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