Camille Posted Sat 19th of October, 2019 19:00:17 PM
Planned procedure: Laparoscopic Repair of Bilateral Hernias. Preoperative Dx: K40.92. Excerpt of procedure description after Rt Inguinal Hernia was laparoscopically repaired: Attention was then brought to the left side where, in exactly the same manner, a small indirect inguinal hernia was repaired. On the left side at the very tip of the hernia sac, there was involvement of tumor and this required sharp dissection and the peritoneal lining was traversed and therefore this was repaired with 3-0 Vicryl with laparoscopic suturing. The inguinal floor was cleared and the second piece of mesh was placed over the left inguinal floor with excellent coverage of a small indirect inguinal hernia defect. Is it appropriate to bill for this tumor excision (CPT 49321) as well as the (bilateral) inguinal hernia(s) or would that be incidental? Thank you very much!
SuperCoder Answered Mon 21st of October, 2019 10:20:31 AM
Thanks for your question.
As per the documentation, code 49321 for tumor excision should not be billed as the involvement of tumor is on the very tip of hernia sac and to repair hernia the surgeon needs to excision the tumor.
Therefore, code for bilateral inguinal hernia repair will be billed.
Hope this helps.