Wiki Multiple Ventral Hernias - How would you code for multiple

[andi]

How would you code for multiple ventral hernias. We have been denied by insurance that since same incision you can not bill for each hernia?

 

[FTessaBartels]

ONE incision = ONE repair

If you had only one incision for the repair, you have only one repair (even if there was more than one ventral hernia present).

Hope that helps.

F Tessa Bartels, CPC, CEMC

 

[colorectal surgeon]

What about if a patient has an incisional (midline) hernia and a parastomal hernia? There is no ICD-9 code for parastomal hernia.

 

[Mojo]

Hi Andi,

Does your documentation support the appending of modifier 22, increased procedural services, for your repair?