Question: Pennsylvania Subscriber Answer: There is no specific code for the manual hernia reduction your urologist performed. You should include the service in the E/M service code that you report. For example, if the urologist documented a level- three service, report just 99213 (Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components: an expanded problem-focused history; an expanded problem-focused examination; medical decision-making of low complexity). Diagnosis: Use ICD-9 code 569.69 (Colostomy and enterostomy complications; other complication, fistula, hernia, prolapse) for the diagnosis in this case.