tci Outpatient Facility Coding Alert - 2017 Issue 8

You Be the Coder: Here's When You Can Bill Hernia Repair & Mesh Separately

Question: Some of our surgeons want to be able to bill hernia repairs separately when they perform them with another abdominal procedure. When can they do this? Answer: According to Christopher Chandler, MHA, MBA, CPC, CGSC, who spoke at the American Academy of Professional Coders’ 2017 Healthcon, you can report hernia repair in addition to another abdominal procedure when: The hernia site is not the same site as the incision for the other abdominal procedure; It’s medically necessary (not incidental); The surgeon has excised a strangulated organ. Some hernia repairs are incidental, says Chandler, who is a Professional...

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