tci General Surgery Coding Alert - 2007 Issue 8

Don't Forget S Codes for Private-Pay Lap Repairs

Medicare calls for unlisted-procedure code, but not all insurers agreeWhen reporting incisional hernia repairs using laparoscopic technique, you should select unlisted-procedure code 49659 (Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy) for Medicare payers, as recently discussed in General Surgery Coding Alert (Vol. 9, no. 6).Remember, however, that private payers may specify their own guidelines. Specifically, private payers may require S2075 (Laparoscopy, surgical; repair incisional or ventral hernia). -Although these temporary national codes are not recognized by Medicare, many other carriers not only accept, but prefer, them to an [unlisted] code,- writes Massachusetts subscriber Pebbles Andrea Ashley, CPC.And...

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