tci General Surgery Coding Alert - 2006 Issue 1

4 Rules Help You Take the Mess Out Of Mesh

Modifier 22 is the choice for difficult removal during hernia repairMesh placement may be common during hernia repair, but you can only bill separately for the procedure in a minority of cases. Make sure you know what they are.In addition, you should be aware that recurrent hernia repair usually includes mesh removal, unless the physician can document extraordinary effort. 1. Claim Placement With Incisional/Ventral Hernia You may report separate placement of mesh (+49568, Implantation of mesh or other prosthesis for incisional or ventral hernia repair) only when the surgeon repairs an incisional or ventral hernia, says Kathleen Mueller...

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