pam Posted Thu 08th of October, 2015 17:54:50 PM
are these codes normally paid separately? I reecived a claim form indicating bilateral inguinal hernia and both of these codes were attached. secondary question, does a bilateral count as two codes for paymetn under CMS?
SuperCoder Answered Fri 09th of October, 2015 01:01:24 AM
CPT code 49650 represents Initial inguinal hernia.
CPT code 49651 represents Recurrent inguinal hernia.
These codes can be billed together with 59 modifier in circumstances that 1 side inguinal hernia is of initial and other side is recurrent in nature.
Also, Bilateral modifier -50 is applicable on CPT code 49650 and 49651.