tci General Surgery Coding Alert - 2015 Issue 4

Reader Question: See How Single Mesh Impacts Code Choice

Question: The surgeon performed a laparoscopic inguinal hernia repair on the right side using mesh. He also documented the following: “The dissection was carried out, reducing the indirect hernia and separating the round ligament from the iliac vessels. A small femoral hernia was also discovered and reduced. A double mesh repair was performed using two separate polypropylene mesh patch prostheses. The first mesh was cut with a lateral slit inserted in position covering all the hernia orifices. The second was then placed over top.” How should I code this? Tennessee Subscriber Answer: First, you should code the...

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