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“In place of these codes, CPT® 2023 bundles epigastric, incisional, ventral, umbilical, and spigelian hernia repair, whether open or laparoscopic, into a unified category,” says Terri Brame Joy, MBA, CPC, COC, CGSC, CPC-I, product manager at MRO in Philadelphia. Instead, Use 12 New Codes.
For implantation of mesh or other prosthesis or repairs for anterior abdominal, spigelian, umbilical, epigastric, and incisional hernia repairs; recurrent, reducible, the following new CPT® codes will replace the deleted codes:
Delete codes 49652–49657, which describe laparoscopic repair of anterior abdominal hernias. Delete add-on code 49568, which describes implantation of mesh for open ventral/incisional hernias and defects resulting from necrotizing soft tissue infection.
CPT® 2023 added 49591-49596, 49613-49618, and 49621-+49623 for hernia repair services and deleted many of the laparoscopic codes. AAPC’s Documentation Advisory Committee held an Ask & Learn webinar on March 15, 2023, discussing the changes and their effect on coding and billing these services.
If mesh implantation is performed with any other open hernia repair (inguinal, epigastric, umbilical, femoral), do not report +49568 because those codes include mesh placement. Mesh is also included as a part of laparoscopic repair.
eritoneal approach (Henry) for a femoral hernia repair. Beginning in 1994, all open hernia repair codes were categorized as reducible or incarcerated/strangulated, except for the rare lumbar hernia. repair (49540) or rare spigelian hernia repair (49590). A hernia should be considered incarcerated if, at the time of the operation, it.
CPT Code: 49585. Description: Surgical repair of umbilical hernia. Type of Service: Surgical. Global Period: 0. Understanding the specific CPT code for umbilical hernia repair is crucial for accurate documentation and reimbursement.
Effective in 2023, new CPT codes are available to report anterior abdominal hernia repair, including umbilical, ventral, incisional, epigastric, spigelian, and parastomal hernias, regardless of the surgical approach used.
New CPT codes 49593, 49594 and 49615 for umbilical hernia repair were introduced in 2023. We made a list of the codes and included the official descriptions and short description so you can find them quicker.
Chronic peritoneal dialysis. Umbilical Hernia Repair CPT Code Description. Umbilical hernia repair CPT code 49580 reports for service when the physician performs surgery to repair an umbilical (belly button) reducible hernia, less than five years of age.