Wiki Incisional Hernia repair with colostomy take-down

[kandigrl79]

Question:
A surgeon goes in to do a colostomy take-down at which point he identifies an incisional hernia, bill 44626 (he did a colorectal anas) + 49560? or just 44626 because I see indicator "1" on the CCI edits and that's tripping me up a little.

 

[surgonc87]

Just repot the colostomy take down if its at the same site, see NCCI documents on hernia repairs.

4. If a hernia repair is performed at the site of an incision for an open abdominal procedure, the hernia repair (CPT codes 49560-49566) is not separately reportable. The hernia repair is separately reportable if it is performed at a site other than the incision and is medically reasonable and necessary. An incidental hernia repair is not medically reasonable and necessary and should not be reported separately.

MS

 

[kandigrl79]

Thanks!