CPT Code for Hernia: Take the Mess Out

class="googleright">incisional or ventral hernia repair) only when the
Recurrent hernia repair usually requires mesh removal,surgeon repairs an incisional or ventral hernia.
unless the physician can document extraordinaryThe specifics CPT codes for hernia: You may report
effort. It’s a common procedure, but you can49568 with 49560 (Repair initial incisional or ventra
only bill separately for the procedure in a minority ofhernial; reducible), 49561 (... incarcerated or
cases. Make sure you know what they are.strangulated), 49565 (Repair recurrent incisional or
1. Claim Placement with Incisional/Ventral Herniaventra hernial; reducible) and 49566 (... incarcerated or
You may report separate placement of meshstrangulated) when the surgeon documents mesh
(+49568, Implantation of mesh or other prosthesis forplacement during the hernia repair.