tci General Surgery Coding Alert - 2012 Issue 3

Reader Question: +15777 vs. 49568 Depends on Purpose

Question: Our surgeon repaired an initial incarcerated incisional hernia and closed with a myofascial advancement flap using acellular xenograft (surgimend). Should we code the xenograft as +15777 or 49568?Utah SubscriberAnswer: The answer depends on how the surgeon used the xenograft -- was the xenograft mesh for the hernia repair, or was it to shore up the advancement flap and help with healing? Your surgeon's documentation should point you in the right direction. Code the case: You should bill the hernia repair as 49561 (Repair initial incisional or ventral hernia; incarcerated or strangulated) and the flap as 15734 (Muscle...

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