Wiki HH repair and Sleeve

[Regina Tinney]

Can you bill for HH repair 43282 and Lap Sleeve 43775 if the HH is found incidentally? Would it need to be diagnosis prior to the surgery?

 

[kimberliterpstra]

We've been using 43281 since our surgeon doesn't typically use mesh. We've had some luck; it just depends on the payor...some consider it inclusive, others will pay as long as we use modifier 59.