tci General Surgery Coding Alert - 2005 Issue 12

NCCI Quick Update: Nix Mesh Placement for Many Hernia Repairs

Modifiers can't save you from these bundling editsYou can forget about separate reimbursement for mesh placement during a number of hernia repair procedures. Version 11.3 of the National Correct Coding Initiative bundles add-on code 49568 to 49570-49651, and you won't be able to override these edits with any modifier.Edits reinforce clinical practice: If you-re coding correctly now, the effects of the mesh placement bundling edits shouldn't trouble you. That's because, as designed by the AMA, +49568 (Implantation of mesh or other prosthesis for incisional or ventral hernia repair) applies to incisional and ventral hernia repairs only, while...

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