Urology Coding Alert

Reader Question:

File 64774 for Excision of an Inguinal Nerve Neuroma

Question: The urologist excised a neuroma of an inguinal nerve following an ipsilateral hernia repair performed five months prior. Would 64774 be appropriate? Do I need to include a modifier?

Wyoming Subscriber

Answer: Yes, you can bill 64774 (Excision of neuroma; cutaneous nerve, surgically identifiable) for a neuroma most likely secondary to a previous transection of an inguinal nerve. You do not need to include a modifier on the claim since the global period for the hernia repair has passed.  


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