tci General Surgery Coding Alert - 2017 Issue 6

Reader Question: Beware Hernia Mesh Implant Limitations

Question: While performing an open umbilical hernia repair for a 26 year-old patient, the surgeon documents removing the strangulated hernia sac and placing mesh beneath the hernia site, then suturing the mesh into the tissue surrounding the hernia. This seems like a lot of extra work, and I’m wondering if we can also bill 49568? Tennessee Subscriber Answer: No, you should not report 49568 (Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection [List separately in addition to code for the incisional or...

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