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49560

Repair initial incisional or ventral hernia; reducible

Surgery General Surgery 22.50 Total RVUs
Quick Reference
For open repair of reducible incisional or ventral hernia

Relative Value Units (RVUs)

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Work RVU
10.00
Physician effort
PE RVU
11.50
Practice expense
MP RVU
1.00
Malpractice
Total RVU
22.50
Combined value
Dollar reimbursement rates vary by locality and payer. RVUs shown for relative comparison only.
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Clinical Information

When to Use

For open repair of reducible incisional or ventral hernia

Time Requirement
60-90 minutes typical operative time

Common Scenarios

Incisional hernia after previous abdominal surgery
Ventral hernia of midline or lateral abdominal wall
Recurrent incisional hernia requiring repair
Multiple abdominal wall hernias
Hernia repair during other abdominal procedures

Documentation Requirements

  • Location and size of hernia defect
  • History of previous surgery
  • Surgical approach and technique
  • Mesh placement and type
  • Fascial closure method

Coding Guidelines

Common Modifiers

22 Increased procedural services for complex repair
51 Multiple procedures performed same session
52 Reduced services if procedure not completed
59 Distinct procedural service if performed with other procedures

Bundling Rules

  • Includes hernia sac dissection
  • Includes mesh placement
  • Includes fascial repair
  • Adhesiolysis bundled when performed same session
  • Wound closure bundled when performed same session

Exclusions

  • 49561 (incarcerated incisional hernia)
  • 49652 (laparoscopic ventral hernia repair)
  • 49568 (recurrent incisional hernia)

Coding Notes

Common complication after abdominal surgery
Mesh repair preferred for most cases
Document defect size and location
Global period is 90 days

Clinical scenarios

Incisional hernia after previous abdominal surgery
Incisional hernia after previous abdominal surgery
When to use:For open repair of reducible incisional or ventral hernia
  • Location and size of hernia defect
  • History of previous surgery
  • Surgical approach and technique
Ventral hernia of midline or lateral abdominal wall
Ventral hernia of midline or lateral abdominal wall
When to use:For open repair of reducible incisional or ventral hernia
  • Location and size of hernia defect
  • History of previous surgery
  • Surgical approach and technique
Recurrent incisional hernia requiring repair
Recurrent incisional hernia requiring repair
When to use:For open repair of reducible incisional or ventral hernia
  • Location and size of hernia defect
  • History of previous surgery
  • Surgical approach and technique

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Code Details

Code 49560
Category Surgery
Subcategory General Surgery
Total RVUs 22.50

Medicare Pricing

Pricing data not available for this code.

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Frequently Asked Questions

What is CPT code 49560?

CPT 49560 is the billing code for "Repair initial incisional or ventral hernia; reducible". For open repair of reducible incisional or ventral hernia

What are the RVUs for CPT 49560?

CPT 49560 has a total RVU of 22.50, broken down as: Work RVU 10.00, Practice Expense RVU 11.50, and Malpractice RVU 1.00. RVUs (Relative Value Units) determine Medicare reimbursement rates.

What documentation is required for CPT 49560?

Key documentation requirements for CPT 49560 include: Location and size of hernia defect; History of previous surgery; Surgical approach and technique; Mesh placement and type. Missing or incomplete documentation is a leading cause of claim denials for this code.

Can CPT 49560 be billed with other codes?

Bundling considerations for CPT 49560: Includes hernia sac dissection. Includes mesh placement Use an NCCI bundling checker to verify specific code combinations before billing.

What modifiers are commonly used with CPT 49560?

Common modifiers for CPT 49560 include: 22 (Increased procedural services for complex repair), 51 (Multiple procedures performed same session), 52 (Reduced services if procedure not completed). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

What is the time requirement for CPT 49560?

The typical time requirement for CPT 49560 is 60-90 minutes typical operative time. Time-based codes require documentation of the actual time spent providing the service.

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