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Use of Mesh in Laparoscopic Ventral Hernia Repairs: How does a provider bill and get paid for this?

April 26, 2017hernia LAPAROSCOPIC mesh paid Provider repairs ventral

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Use of Mesh in Laparoscopic Ventral Hernia Repairs: How does a provider bill and get paid for this?

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We can accept the mesh code, 49568, billed in addition to the unlisted laparoscopic procedure code for laparoscopic ventral/hernia repair. Please note in the exceptional circumstance when another hernia repair is done in addition to a laparoscopic or open ventral hernia repair, for example 49505-initial inguinal hernia repair, the mesh code will rebundle. In that scenario, you’d have to bill the unlisted lap procedure with a modifier 22 to receive reimbursement for the mesh.