Hernia repairCPT codeDescriptor2017 work RVU49650Laparoscopy, surgical; repair initial inguinal hernia6.3649651Laparoscopy, surgical; repair recurrent inguinal hernia8.3849652Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); reducible11.9240 more rows•Apr 1, 2017
Use of Mesh CPT code +49568 should be used only along with incisional or ventral hernia repair CPT code 49560, 49561, 49565 & 49566. Other hernia repair codes includes the mesh CPT code 49568.
SupplementThe root operation “Supplement” involves repair of the inguinal hernia with the use of biological or synthetic material, such as a tissue graft or mesh. The tissue graft or synthetic material is used to reinforce or augment the muscles and fascia in the designated body region.
ICD-10-PCS Draft Coding Guideline B5. 2 states that procedures performed via natural or artificial opening with percutaneous endoscopic assistance are coded to approach value F. The code for a laparoscopic-assisted total vaginal hysterectomy is 0UT9FZZ, with the fifth character value of F.
The range of codes that CPT® code 49568 may be reported with is 49560—49566. The facility may bill for mesh in other cases, but there is not a separate physician charge.
CPT® Code 49652 in section: Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed)
Unspecified abdominal hernia without obstruction or gangrene K46. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM K46. 9 became effective on October 1, 2021.
ICD-10-PCS Root Operations Root operations that take out solids/fluids/gasses from a body part. Root operations involving cutting or separation only. Root operations that put in/put back or move some/all of a body part. Root operations that alter the diameter/route of a tubular body part.
ICD-10 Code for Inguinal hernia- K40- Codify by AAPC.
A8 All seven characters must be specified to be a valid code. If the documentation is incomplete for coding purposes, the physician should be queried for the necessary information. A9 Within a PCS table, valid codes include all combinations of choices in characters 4 through 7 contained in the same row of the table.
Here are three steps to ensure you select the proper ICD-10 codes:Step 1: Find the condition in the alphabetic index. Begin the process by looking for the main term in the alphabetic index. ... Step 2: Verify the code and identify the highest specificity. ... Step 3: Review the chapter-specific coding guidelines.
medical and surgical section codesThe medical and surgical section codes represent the vast majority of procedures reported in an inpatient setting. Medical and surgical procedure codes have a first character value of “0”. The second character indicates the general body system (e.g., gastrointestinal).
This directs users to code 53.04, Other and open repair of indirect inguinal hernia with graft or prosthesis. This code indicates the procedure was unilateral but does not specify the laterality further.
The patient presents with a left inguinal hernia in need of herniorrhaphy. A groin incision is made and the indirect hernia sac is identified and dissected free. The hernia sac was then ligated. The posterior wall was repaired with Marlex mesh.
The definition for the Insertion root operation provided in the 2014 ICD-10-PCS Reference Manual is “Putting in a non-biological device that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part.” The body part value represents the site that the device was placed. The device value represents the type of device that was inserted, such as cardiac lead, intraluminal device, or hearing device.
The ICD-10-PCS procedure code for this scenario is 0YU60JZ. The fourth character (6) identifies the body part as left inguinal region. The sixth character (J) specifies the device as a synthetic substance.
In ICD-9-CM, the Alphabetic Index main term entry is Insertion; subterms Valve (s), Bronchus, Single Lobe which identifies code 33.71, Endoscopic insertion or replacement of bronchial valve (s), single lobe. This code may be used for either the initial insertion or the replacement of an endobronchial valve. Code 33.71 does not distinguish the specific lobe of the lung that is involved in the procedure.
In this article, the Journal of AHIMA continues the 10-part Coding Notes series focusing on the 31 root operations of ICD-10-PCS. This article will describe three of the root operations in the Medical and Surgical Section that always involve a device:
The index entry main term is Herniorrhaphy, subterm With Synthetic Substitute, which provides two directional notes—see Supplement, Anatomical Regions, General (0WU) and see Supplement Anatomical Regions, Lower Extremities (0YU). The inguinal region body part is classified in Table 0YU for Anatomical Regions, Lower Extremities. Refer to Coding Guideline B2.1a for further detail, included in the sidebar on page 70.