When reporting CPT code 49560 (repair initial incisional or ventral hernia) the insertion of mesh can be reported with add-on code 49568. Additionally, when the herniorrhaphy is bilateral, it is reported with modifier -50 on one claim line. Alternately, it can be reported on two claim lines with HCPCS Level II modifiers for right and left, -RT and -LT, respectively. Interested in more coding tips and claim validation tools? Click here to sign up for a demo or to learn more about SelectCoder. |