Surgery: Digestive System (Q&A) (March 2018)

March 2018 page 11 Surgery: Digestive System Question: Should code 49255 be reported when omentectomy is performed on omentum that is incarcerated within an incisional hernia, or is omentectomy included in the hernia repair code? Answer: Code 49255, Omentectomy, epiploectomy, resection of omentum (separate procedure), may not be reported for resection of a piece of omentum contained within an incisional hernia. Code 49255 describes removing the entire organ, starting at the greater curvature of the stomach, and is typically performed for malignancy. Code 49255 may only be reported as a "separate procedure." When partial omentectomy is performed in...

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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 article explains a digestive system surgery coding question from CPT Assistant focused on whether an omentectomy reported during incisional hernia repair is separately billable. It is relevant to professional coders, billers, and compliance staff who work with surgical CPT coding, modifier use, and documentation support for higher-service reporting. The discussion centers on CPT terminology, related procedure coding, and when additional reporting considerations may arise.

Why This Topic Matters

It helps coding professionals understand how CPT Assistant discusses procedure reporting in a surgical scenario that combines hernia repair with omentum resection, which can affect claim accuracy and documentation review.

Article Sections

  1. March 2018 page 11

    Introductory placement information for the question-and-answer item in the March 2018 issue. The section identifies the topic area within the CPT Assistant digest system surgery series.

What You Will Learn

  • The scope of a digestive system surgery coding question discussed in CPT Assistant
  • How the article frames reporting considerations for a hernia-related surgical scenario
  • What documentation themes are associated with higher-service reporting discussions
  • Which CPT coding concepts are involved in the question-and-answer format

Who Should Read This

  • Professional coders
  • Medical billers
  • Coding auditors
  • Compliance staff
  • Surgical practice administrators

Codes Discussed

Modifiers Discussed


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