CPT^® 49553, Under Hernia Open Procedures

The Current Procedural Terminology (CPT^®) code 49553 as maintained by American Medical Association, is a medical procedural code under the range - Hernia Open Procedures.

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Summary

In this procedure, the provider surgically repairs an initial femoral hernia, a hernia in which abdominal contents, typically intestines, bulge through the canal carrying the femoral artery into the upper thigh. The hernia is incarcerated, meaning trapped, or strangulated, meaning the blood supply is cut off.

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Help with hernia repair

I need some help with the below op report...We are having issues with getting it paid. The insurance company didn't like 49557 or 49659. It's confusing because the Dr. seems to go between laparoscopic... [ Read More ]

Help with hernia repair

Open Hernia with laparoscopy mesh repair cpt code

[QUOTE="uwalia, post: 391877, member: 364688"]Thanks for the reply, but CPT guidelines allow separate billing for mesh for ventral or incisional hernia and not for umbilical. Any thoughts on why umbil... [ Read More ]

Bowel Resection vs Incarcerated Hernia repair

If a provider during a hernia repair finds that the incarcerated bowel is ischemic, so in turn performs a small bowel resection. Is it appropriate to bill only bowel resection? Or is bowel resection i... [ Read More ]

Femoral Hernia open or closed???

:)The scalpel was used to make an infraumbilical incision. This was carried down through subcutaneous tissue to the fascia, and the fascia was entered. Once this was done, a 5 mm port was placed usi... [ Read More ]

Ventral hernia with mesh

We are billing a 49553-50, repair femoral hernia, bilateral and 49561, repair ventral hernia then add on code 49568, implantation of mesh. In that order on the HCFA form. Medicare always denies the 49... [ Read More ]

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