What is the CPT code 49560?

CPT® 49560, Under Hernia Open Procedures. The Current Procedural Terminology (CPT®) code 49560 as maintained by American Medical Association, is a medical procedural code under the range – Hernia Open Procedures.

Does CPT code 49560 include mesh?

The range of codes that CPT® code 49568 may be reported with is 49560—49566. The facility may bill for mesh in other cases, but there is not a separate physician charge.

What is procedure code 49561?

CPT® 49561 in section: Repair initial incisional or ventral hernia.

What is the CPT code for abdominal wall reconstruction?

Code 15734 is an open procedure. For more complicated laparoscopic hernia repair procedures that may include separation of components, report code 49659, Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy.

What can you do for a groin hernia?

Surgery is the only way to fix an inguinal hernia. The doctor will push the bulging tissue back inside and strengthen your abdominal wall with stitches and perhaps mesh. They might be able to do this through a small cut in your belly using a special tool, a procedure called laparoscopy.

Is a femoral hernia the same as an inguinal hernia?

A femoral hernia is a bulge in the upper part of the thigh near the groin. Inguinal hernia is the result of an organ, usually bowel, protruding through a weak point or tear in the thin muscular abdominal wall.

How do they repair a hiatal hernia?

Surgery to repair a hiatal hernia may involve pulling your stomach down into your abdomen and making the opening in your diaphragm smaller or reconstructing an esophageal sphincter. In some cases, hiatal hernia surgery is combined with weight-loss surgery, such as a sleeve gastrectomy.

What is a 51 modifier?

Modifier 51 Multiple Procedures indicates that multiple procedures were performed at the same session. It applies to: Different procedures performed at the same session. A single procedure performed multiple times at different sites. A single procedure performed multiple times at the same site.

Does 49561 include mesh?

Use of Mesh CPT code +49568 should be used only along with incisional or ventral hernia repair CPT code 49560, 49561, 49565 & 49566. Other hernia repair codes includes the mesh CPT code 49568.

Is abdominal wall reconstruction covered by insurance?

Most major insurance companies will cover ventral hernia repair. Occasionally, ventral hernia repair may be combined with an abdominal wall contouring procedure, such as a vertical abdominoplasty or liposuction. In this case, the ventral hernia repair is covered by insurance while the abdominal wall portion is not.