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Trocar site Hernia repair

Lee Posted Fri 14th of December, 2012 14:49:57 PM

Physician is performing a Laparoscopic umbilical hernia repair along with a trocar site hernia repair. How do I charge for the trocar site Hernia Repair?

SuperCoder Answered Mon 17th of December, 2012 13:13:46 PM

Trocar Site Hernia (TSH) is defined as an incisional hernia which occurs after minimally invasive surgery on the trocar incision site.You should use the appropriate incisional hernia repair code (49654-49655, Laparoscopy,surgical, repair, incisional hernia [includes mesh insertion, when performed] ... ; or 49656-49657,Laparoscopy, surgical, repair, recurrent incisional hernia [includes mesh insertion, when performed] ...).

Here's why: The incisional hernia repair codes include the reimbursement and work associated with an incisional defect with expected adhesions, scarring, and other extra work associated with a procedure related toa previous surgical site.

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