Would you code for an incisional hernia also based on the closure documentation below?
The peritoneum was closed with running suture of 3-0 Vicryl to the
umbilicus and then attention directed to repair of the incisional
hernia. Because of the open bowel operation, no mesh was used in
this repair. Then the fascia was closed, beginning above the
incisional hernia which required extending the incision to the
epigastrium which was the upper limit of the hernia. The fascia
was closed with interrupted figure-of-eight sutures. Before hernia
repair could be undertaken, an extensive adhesiolysis had to be
performed to clear the anterior abdominal wall from bowel attachment.
This was done with sharp dissection. After the bowel was safely
out of the way, the fascia was closed with interrupted figure-of-eight
sutures of #1 Ethibond. These were placed initially without
securing them until we ensured that we were able to get good closure
of the entire fascia. Figure-to-eight sutures were then secured
with good fascial closure and closure of the hernia defect.