tci General Surgery Coding Alert - 2011 Issue 11

Reader Question: 44202 Hinges on Medical Necessity

Question: Our surgeon performed a complex repair for a recurrent ventral hernia that involved taking down dense adhesions and removing old mesh. In the process, the op note describes three enterotomies resulting in a small bowel resection. Which services are separately billable?Texas SubscriberAnswer: Selecting the proper code for the hernia repair requires some information you don't provide. In addition to what you do state -- recurrent ventral hernia -- you also need the following data:Is it reducible? The contents of a reducible hernia can be pushed back through the fascial defect. In contrast, the contents of an incarcerated...

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