tci General Surgery Coding Alert - 2019 Issue 5

Reader Question: Limit +49568 to Specific Hernia Cases

Question: Can we separately bill mesh placement using code +49568 for hernia repairs? Indiana Subscriber Answer: You should report code +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 ventral hernia repair)) in only limited hernia repair cases. Specifically, reserve +49568 for reporting documented mesh insertion in addition to open hernia repair codes 49560-49561 (Repair initial incisional or ventral hernia …) and 49565-49566 (Repair recurrent incisional or ventral hernia …). The...

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