tci General Surgery Coding Alert - 1999 Issue 4

How to Bill Correctly for Hernia Repair

There are many different hernia repair procedures, and using the correct CPT and diagnosis codes when billing for such services can be quite complicated for surgeons and their office staff. But once they understand the correct codes, practices can receive proper reimbursement. Is it Ventral, Epigastric or Umbilical? It is common for the surgeon to submit the following documentation in the op report about a hernia repair to his office staff: 1. Preoperative diagnosis: Epigastric hernia 2. Postoperative diagnosis: Epigastric hernia 3. Procedure: Repair of ventral hernia with insertion of marlex mesh For the surgeon, there is no conflict...

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