#IVCD 10 FOR SURGICAL SCAR EXPLORATION UPDATE#
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#IVCD 10 FOR SURGICAL SCAR EXPLORATION CODE#

Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed) reducible Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed) incarcerated or strangulated Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed) reducible Laparoscopy, surgical repair recurrent inguinal hernia Laparoscopy, surgical repair initial inguinal hernia Repair umbilical hernia, age 5 years or older incarcerated or strangulated Repair umbilical hernia, age 5 years or older reducible Repair umbilical hernia, younger than age 5 years incarcerated or strangulated Repair umbilical hernia, younger than age 5 years reducible Repair epigastric hernia (eg, preperitoneal fat) incarcerated or strangulated Repair epigastric hernia (eg, preperitoneal fat) reducible (separate procedure) Repair recurrent incisional or ventral hernia incarcerated or strangulated Repair recurrent incisional or ventral hernia reducible Repair initial incisional or ventral hernia incarcerated or strangulated Repair initial incisional or ventral hernia reducible Repair recurrent femoral hernia incarcerated or strangulated Repair recurrent femoral hernia reducible Repair initial femoral hernia, any age incarcerated or strangulated Repair initial femoral hernia, any age reducible Repair recurrent inguinal hernia, any age incarcerated or strangulated Repair recurrent inguinal hernia, any age reducible Repair initial inguinal hernia, age 5 years or older incarcerated or strangulated Repair initial inguinal hernia, age 5 years or older reducible Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy incarcerated or strangulated Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy reducible

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Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy incarcerated or strangulated Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy reducible Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy incarcerated or strangulated Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy reducible Hernia repair codes and 2017 Medicare relative value units (RVU)

Beginning in 1994, all open hernia repair codes were categorized as reducible or incarcerated/strangulated, except for the rare lumbar hernia repair (49540) or rare spigelian hernia repair (49590). Until 1994, separate codes were used to report different approaches to hernia repair, such as an inguinal approach versus an anterior extraperitoneal approach (Henry) for a femoral hernia repair. These two patient presentations were combined in the 1994 CPT revision. Until 1994, separate repair codes were used to report incarcerated hernias and strangulated hernias. Method of repair (open versus laparoscopic)ДЄs identified in Table 1 only the codes for open repair of inguinal hernias (49491вЂ“49525) or umbilical hernias (49580вЂ“49587) have distinct codes based on the age of the patient.Clinical presentation (reducible versus incarcerated or strangulated).Patient presentation (initial versus recurrent).Type of hernia (inguinal, lumbar, femoral, incisional, ventral, epigastric, umbilical, spigelian).

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In 1993, the ACS submitted a code change proposal to the American Medical Association CPT Editorial Panel to revise hernia coding in 1994 based on several variables, including the following: Hernia repair includes isolation and dissection of the hernia sac, reduction of intraperitoneal contents, fascial repair, and soft tissue closure.

#IVCD 10 FOR SURGICAL SCAR EXPLORATION UPDATE#

This column provides an update to a coding column published in the September 2011 issue of the Bulletin 1 in an effort to educate health care professionals and coding staff on proper coding for hernia repair and complex abdominal wall reconstruction. The American College of Surgeons (ACS) Coding Hotline receives numerous queries about Current Procedural Terminology (CPT) coding for hernia repair and complex abdominal wall reconstruction.* Similarly, participants at ACS Surgical Coding Workshops have expressed confusion regarding coding for these procedures.

Ivcd 10 for surgical scar exploration