Coding

The coding tools on this page are for informational purposes only. As a Provider, you should review all current coding authorities (e.g., CPT® Guidelines, HCPCS, ICD-9 CM), be familiar with local medical policies and practices, and verify your patients’ insurance coverage. Proper billing code(s) selection is based on a patient’s medical condition(s) and medical record documentation.

Links

• Coding Hernia and Other Complex Abdominal Repairs
  (Guidance on coding for hernia and complex abdominal wall repairs)
  Link provided with permission of the American College of Surgeons
• Complex Abdominal Hernia
  (Guidance on component separation coding for ventral hernia repairs)
  Link provided with permission of the American College of Surgeons
• Medicare (CMS) Hospital Inpatient Prospective Payment System
  Table 6J - CC List
  Table 6I - MCC List

Downloads

Coding guidance for grafts and flaps with complex hernia repair from "Medical Practice Coding Pro"

Grafts and Flaps with Complex Hernia Repair (Guidance on component separate for ventral hernia repairs)

(117.2 KB, 1 pages, .pdf)

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Hernia Repair

Physician / Hospital Outpatient / ASC Overview - 2012 Edition

(225.9 KB, 4 pages, .pdf)

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CPT® Changes 2011

An Insider's View presents case vignettes for hiatal hernia repair – Reprinted with permission of the American Medical Association

(336.5 KB, 5 pages, .pdf)

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Coding Information for the Hospital Purchasing Committee for GORE® BIO-A® Tissue Reinforcement

2012 Edition

(162.9 KB, 1 pages, .pdf)

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Paraesophageal Hernia Codes: CPT Changes - An Insider's View

2010 Edition

(360.4 KB, 3 pages, .pdf)

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Hernia Repair

Hospital Inpatient Overview - 2012 Edition

(174.6 KB, 2 pages, .pdf)

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Laparoscopic Hernia CPT Code Changes for 2009

Reprinted with permission of the American Medical Association

(636.2 KB, 10 pages, .pdf)