Wiki Intercostal Hernai

[ladymedic11@yahoo.com]

How would you code the repair of hernia left subcostal tip of 11th rib. Surgeon went in to remove what he thought was a lipoma and discovered it was a hernia, repaired it with mesh and closed. Any help would be appreciated.Thanks

 

[Torilinne]

Subcostal Hernia

Sounds like ventral or incisional? What exactly was herniated? Can you give a little more of the actual op note? I've actually seen where the lung herniates through the rib cage so would need more detail.

Torilinne
CPC, CGIC

 

[ladymedic11@yahoo.com]

The op note never said what was hernaited. The surgeon states he reapproximated the fascia with 2-0 vicryl. A polypropylene mesh was fashioned to fit the space so he had approximately 2 cm overlap of the area of eventration and was secured again with 2--0 vicryl.
his final diagnosis "Repair of hernia left subcostal tip of 11th rib"
Thanks for any help you can supply.........ladymedic