Question

surgical case 31 i need help coding this cpt code and hcpcs if necassary

cal Case #32 Operative Report s: Ventral hernia Ventral hernia Laparoscopic repair of ventral hernia General The patient was taken to the operating room, placed in the supine position attern and was prepped and draped in the usual sterile fashion. A Veress needle was then inserted in the left lateral insufflated with CO2 gas. A 10-mm Surgiport was then camera was then inserted. Additional 5-mm vision, one in the lower quadrant of the abdomen. The 5-mm harmonic scalpel was used along with the dissecting forceps to The balous re well. was then placed. The Surgiports were placed under dict left lower quadrant of the abdomen, the other in the left upper number of adhesions, primanily invohing the omentum. These were all removed Two hernia defects were noted, one just above the umbilicus, perhaps 3 to4 cm in diameter, and another toward the upper aspect of the midine incision, that had not been previously recognized. It was elected to place an 18 3 24-cm segment of Gore-Tex dual mesh. 1 Prolene was sewn at each of the corners of this as well as in between, at the midpoint of each of the sides. Suitable locations were chosen for tying the anchoring sutures. The patch then was rolled around a grasper and inserted into the abdominal cavity through the 10-mm port. The patch was then urrolled and the orientation placed with the smooth side down against the bowel. An endoclose device was used to grasp each of the sutures and bring out through the previously placed incisions for the anchoring sutures. The patch was anchored at each of the six locations as noted previously. Then, an auto suture Protac was placed around the periphery of the patch. Additional staples were placed within the inner aspect of the patch using an Ethicon tacking stapler The patch was noted to be quite taut and applied closely to the abdominal wall to prevent any movement of the patch. The abdomen was then desufflated and the ports withdrawn. Each of the skin incisions was closed with 40 clear PDS subcuticular suture and Steri-Strips. Tegaderm dressings were then applied. The patient tolerated the procedure well with no apparent difficulty, She was then taken to the postanesthesia recovery room for further postoperative care. r indication for The right chest anner. A total bcutaneous eum. The guide wire was e aspect. The ava. This was t distance of curved six. ncision. The ting at the skin was the inferior

cpt code

Answer 1

Current Procedural Terminology (CPT) is a medical code set that is used to report medical, surgical, and diagnostic procedures and services to entities such as physicians, health insurance companies and accreditation organizations

Medicare's HCPCS Codes for Payments. HCPCS codes are numbers Medicare assigns to every task and service a medical practitioner may provide to a patient. There are codes for each medical, surgical, and diagnostic service. HCPCS stands for Healthcare Common ProcedureCoding System.

CPT CODE FOR VENTRAL HERNIA

CPT code	Descriptor	2017 total RVU
49650	Laparoscopy, surgical; repair initial inguinal hernia	12.37
49651	Laparoscopy, surgical; repair recurrent inguinal hernia	16.08
49652	Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); reducible	21.51

For insertion of mesh or other prosthesis for open incisional orventral hernia repair, add-on code+49568 should be reported in conjunction with 49560-49566. Therefore, code +15777 should NOT be reported for open ventral andincisional hernia repairs.