Cpt 49590

49651, Under Hernia Laparoscopic Procedures. The Current Procedural Terminology (CPT ®) code 49651 as maintained by American Medical Association, is a medical procedural code under the range - Hernia Laparoscopic Procedures.

Cpt 49590. New CPT 2023 Codes. One last change in the E/M section: Whereas 99417 will now apply to prolonged services in the outpatient setting, new code 99418 will apply to inpatient or observation prolonged services (instead of 99356-99357). In the Surgery section of CPT® 2023, there are new codes in several subsections. For example:

The nation’s leading data-sharing terminology for medical procedures and services, the 2023 CPT code set contains burden-reducing revisions to the codes and guidelines for most evaluation and management (E/M) services. Based on the 2021 revisions made to the E/M codes for office visit services, the new modifications make coding and ...

BREAST. w/wo Unilateral Bilateral. 72195 72197. 77048 77049. *These CPT codes represent the most commonly ordered CT exams. For any coding inquiry not listed please call your Marketing Team Member at 858 658 6500. EXAM TO ORDER. CT head, brain w/ & w/o contrast. SYMPTOMS/CONCERNS.Overview. This guide is intended to aid providers in appropriate procedure code selection for Hernia procedures. The document reflects applicable and commonly billed procedure codes as well as the unadjusted national Medicare average rates assigned to the CPT®1 code. Instructions for use:CPT CODE MAX FEE. 0001U‐8. $593.27. 0002U‐8. $96.94. 0003U‐8. $105.29. 0004U‐8. $39.67 ... 49590‐2. $1,918.57. 49600‐2. $2,107.58. 49605‐2. $3,317.31. 49606‐2.In 2023, general surgery has new and revised codes as well as code deletions. Here, we take a look at the updates for 7 key modalities: Anterior Abdominal Hernia Repair. There are many changes to the hernia repair codes for epigastric, incisional, ventral, umbilical, and spigelian abdominal hernias. Deleted codes : codes 49560-49590 (open ...For 2023, CPT approved significant coding changes, as summarized in this column. The full 2023 CPT code descriptors are presented in Table 1. Delete codes 49560-49590, which describe open repair of anterior abdominal hernias. Delete codes 49652-49657, which describe laparoscopic repair of anterior abdominal hernias.

49561 Repair initial incisional or ventral hernia; incarcerated or strangulated. 49585 Repair umbilical hernia, age 5 or older; reducible. 49587 Repair umbilical hernia, age 5 or older; incarcerated or strangulated. INDEPENDENT BILLING REVIEW FINAL DETERMINATION. Disputed Codes: Rev Codes 0250 x 4, 0271, 0272, 0370, 0710, …CPT Code 49999, Surgical Procedures on the Abdomen, Peritoneum, and Omentum, Surgical Procedures on the Omental Flap - Codify by AAPC. Select. ... By G. John Verhovskek MA CPC To assign an appropriate hernia repair code from the more than 30 choices that CPT offers 49491 49590 and 4965049659 youll probably need to answer at …Use this code to report sensor placement, hook-up, monitor calibration, patient training, sensor removal, and recording printout. This code is used to report the service when the patient provides the equipment. $58.62. Physician, Advanced Practice HCP, or Institution (hospital outpatient department under OPPS) 95250. Professional.In the E/M section, there is one final alteration: While cpt code 99417 will now apply to prolonged services within the outpatient setting, a novel code, 99418, will encompass prolonged services for inpatient or observation care (instead of cpt code 99356-cpt code 99357). Within the Surgery segment of CPT® 2023, new codes have emerged across ...Billing and Coding articles provide guidance for the related Local Coverage Determination (LCD) and assist providers in submitting correct claims for payment. Billing and Coding articles typically include CPT/HCPCS procedure codes, ICD-10-CM diagnosis codes, as well as Bill Type, Revenue, and CPT/HCPCS Modifier codes.

For 2019, the CPT® codebook made changes that affect proper coding for replacement or change of a gastrostomy tube. Here's what you need to know to be sure your coding is current and correct. A gastrostomy tube, or G-tube, is a tube inserted through the abdomen to deliver nutrition directly into the stomach.Prior to 2019, a single code, 43760, was used to report replacement of a G-tube ...Removal of sutures is usually not a separately billable service. An exception may occur if the patient must be placed under general anesthesia to remove the sutures 15850 Removal of sutures under anes... [ Read More ] View All News. Find details for CPT® code 15850. Know how to use CPT® Code 15850 through Codify CPT® codes Lookup …Summary. The provider injects a sclerosing solution into the submucosa of the lower part of the anus under a hemorrhoid. This procedure helps in reducing blood flow to the area and causes the hemorrhoid to shrink in size. For clinical responsibility, terminology, tips and additional info. start codify free trial.CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following products: Find-A-Code Essentials; Find-A-Code Professional; Find-A-Code Premium; Find-A-Code EliteThe Citi Diamond Preferred is attractive for those looking to pay down credit card debt. Is it the best option for you, though? Let's look into it. Citi is a TPG advertising partne...A Commitment to Security. At Paychex, safety and security of your personal and account information is one of our top priorities. Below you will find a brief overview of how we undertake this responsibility and some easy-to-follow tips …

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CPT code - 99487 complex CCM is a 60-minute timed service provided by clinical staff to substantially revise or establish comprehensive care plan that involves moderate- to high-complexity medical ...Step 1: Change the discharge visit code from 1.0 to 0.5 (e.g., 0.5 x CPT code 99238) and subtract one-half of the work RVU for that code. Step 2: Remove all inpatient visit codes (e.g., CPT codes 99231-99233) and subtract the work RVU for those codes. Step 3: Sum the "intra" face-to-face time for the deleted inpatient codes and multiple by ...Code range 49491- 49659. The Current Procedural Terminology (CPT) code range for Repair Procedures on the Abdomen, Peritoneum, and Omentum 49491-49659 is a medical code set maintained by the American Medical Association. CPT Code: 49590 Surgery Center of Oklahoma is a free market-loving, price-displaying, state-of-the-art, AAAHC accredited, doctor owned, multispecialty surgical facility in central OK. Pricing Disclaimer | Employment The provider uses any approach to perform initial repair of one or more anterior abdominal hernias with a total length of less than 3 cm. The hernias are incarcerated (trapped) or strangulated (trapped so blood flow is cut off). The provider may implant mesh or another prosthesis. For clinical responsibility, terminology, tips and additional info.Mar 18, 2021 · For example, the CPT Manual instruction above CPT code 49491 states: “With the exception of the incisional hernia repairs (see 49560-49566) the use of mesh or other. prostheses is not separately reported.” Therefore, CPT code 49568 (mesh implantation) should not be reported separately with CPT code 49505 (inguinal hernia repair).

Study with Quizlet and memorize flashcards containing terms like Patient undergoes a posterior L1-L5 spinal fusion for scoliosis with placement of a Harrington rod. Code using CPT., D&C for missed abortion, first trimester. (Code CPT for procedures.), You would expect to find documentation regarding the assessment of an obstetric patient's lochia, fundus, and perineum on the and more.CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following products: Find-A-Code Essentials; Find-A-Code Professional; Find-A-Code Premium; Find-A-Code Elite48520, K86.1. A 4-year-old patient, who accidentally ingests valium found in his mother's purse, is found unconscious and rushed to the ED. The child is treated by the ED physician, who inserted a tube orally into the stomach and performed a gastric lavage, removing the stomach contents.Modifiers used in medical coding with CPT. Learn with flashcards, games, and more — for free. ... Report code 49590-47 Do not use anesthesia codes. Modifer -50. Bilateral Procedure Used when procedures defined as unilateral, are performed bilaterally at the same session. Applicable only to services and/or procedures performed on identical ...Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code. View the CPT® code's corresponding procedural code and DRG.New CPT Codes for 2023. In the E/M section, there is one final alteration: While cpt code 99417 will now apply to prolonged services within the outpatient setting, a novel code, 99418, will encompass prolonged services for inpatient or observation care (instead of cpt code 99356-cpt code 99357). Within the Surgery segment of CPT® 2023, new ...20. What CPT® code (s) is/are reported when a physician makes two separate incisions to perform a laparoscopic appendectomy and laparoscopic cholecystectomy? • 44960, 47562 • 47562 • 47562, 44970-51 • 47562, 44970-59 (correct answer, your response) Rationale: Code 47562 represents the laparoscopic cholecystectomy.MSQCCPT Changes. Current book and archives back to 2000 Easy-to-read online book format Linked to and from code details. learn more. close. Find-A-Code Articles, Published 2023, May 18. Hernia Repair Coding in 2023. by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT ... Repair spigelian hernia 49590;When you undergo a medical procedure, there’s a corresponding series of numbers that medical professionals use to document the process. This Current Procedural Terminology code hel...After a few months of coding hernia repairs using the CPT ® 2023 revisions, you may have some remaining questions about how to implement all the changes. Read on to get details about the anterior abdominal hernia repair codes, and to learn essential documentation tips for accurate reporting. ... 49590 (Repair spigelian hernia); as we; ...

Usage & Reimbursement rate of CPT Code 92960. 92960 is the cpt code for electrical cardioversion and should always be reported as an isolated procedure. There are no specific codes or modifiers for the use of paddles or hands-free technology. It is important to note that it cannot be reported in the context of critical care.

Code range 39000- 39599. The Current Procedural Terminology (CPT) code range for Surgical Procedures on the Mediastinum and Diaphragm 39000-39599 is a medical code set maintained by the American Medical Association.CPT 49320 refers to the diagnostic laparoscopic procedure that critically examines the abdomen, peritoneum, and omentum either with or without specimen collection. It's performed to determine the root cause of a patient's symptoms like abdominal pain, swelling, or organ enlargement. Brushing or washing of specimen (s) for later analysis is ...CPT‡ CODE DESCRIPTION WORK RVU NATIONAL MEDICARE RATE FACILITY NON FACILITY INDIVIDUAL STUDIES* 93600 Bundle of His recording 2.12 $125 $125 93602 Intra-atrial recording 2.12 $122 $122 93603 Right ventricular recording 2.12 $122 $122 93610 Intra-atrial pacing 3.02 $171 $171 93612 Intraventricular pacing 3.02 $169 $169This following list contains added HCPCS codes that will be effective April 1, 2022. HCPCS. DESCRIPTION. A4238. Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service. E2102. Adjunctive continuous glucose monitor or receiver. J0219.Depending on the time and effort involved, lysis of adhesions might be billed separately. CPT® includes a number of codes dedicated to lysis of adhesions (categorized by location). For example: Tubes and ovaries, 58660 Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) or 58740 Lysis of adhesions ...CODING TIP: Modifier -47 is added to the CPT surgery code. It is not reported with Anesthesia codes 00100–01999. EXAMPLE: The surgeon administers the regional anesthesia and performs the spigelian hernia repair. Code 49590-47 is reported.The Current Procedural Terminology (CPT) code range for Surgical Procedures on the Abdomen, Peritoneum, and Omentum 49000-49999 is a medical code set maintained by the American Medical Association. Subscribe to Codify by AAPC and get the code details in a flash. Request a Demo 14 Day Free Trial ...DDC-49590: Product Name Thin Film Resistor Network (SDC) Configuration Resistor, Capacitor Network Category / Application General Use Technology / Construction Thin Film (Chip) Mounting / Packaging ThroughHole; DIP Resistance Range 2536 to 270000 ohms Unlock Full Specs

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Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code. View the CPT® code's corresponding procedural code and DRG.Multiple codes over days. Treatment for liver metastasis or primary cancer. Please contact IR Department. Please contact IR Department. Spine Biopsy. Biopsy of the spine. Bone -77012, 20220 Bone Marrow-77012, 38221,20220. To obtain tissue specimen for diagnosis. Clear liquids after midnight, NPO 6 hrs prior.The Current Procedural Terminology (CPT) code range for Introduction, Revision, and/or Removal Procedures on the Abdomen, Peritoneum, and Omentum 49440-49442 is a medical code set maintained by the American Medical Association. Subscribe to Codify by AAPC and get the code details in a flash. Request a Demo 14 Day Free Trial ...By G. John Verhovskek MA CPC To assign an appropriate hernia repair code from the more than 30 choices that CPT offers 49491 49590 and 4965049659 youll probably need to answer at least four of the fol...Dec 1, 2022 · For 2023, CPT approved significant coding changes, as summarized in this column. The full 2023 CPT code descriptors are presented in Table 1. Delete codes 49560–49590, which describe open repair of anterior abdominal hernias If this is your first visit, be sure to check out the FAQ & read the forum rules.To view all forums, post or create a new thread, you must be an AAPC Member.If you are a member and have already registered for member area and forum access, you can log in by clicking here.If you've forgotten your username or password use our password …Flood insurance is different from regular homeowners insurance. How can you be sure you're covered by flood insurance, just in case? Advertisement The town of Wilmington is the qui...I have billed CPT's 43840 & 49905, & have received several denials indicating that 49... [ Read More ] Coding Colectomy, partial and 49905. My surgeons often have a procedure with Colectomy, partial and then do an Omental Flap, intra-abdominal. the codes are 44145 and 49905, which is an add on code.Getting paid for screenings and assessments. Although the fee-for-service payment for screening and assessments may be small, it can add up to significant income across a patient panel. In ...By G. John Verhovskek MA CPC To assign an appropriate hernia repair code from the more than 30 choices that CPT offers 49491 49590 and 4965049659 youll probably need to answer at least four of the fol... ….

2 beds, 2 baths, 1200 sq. ft. condo located at 49590 Ellis Ct, Shelby Twp, MI 48315 sold for $127,000 on Apr 12, 2016. MLS# 215131575. Looking for a nice condo with some privacy, a full basement, a...CPT ® 49595, Under Hernia Open Procedures The Current Procedural Terminology (CPT ® ) code 49595 as maintained by American Medical Association, is a medical procedural code under the range - Hernia Open Procedures.20. What CPT® code (s) is/are reported when a physician makes two separate incisions to perform a laparoscopic appendectomy and laparoscopic cholecystectomy? • 44960, 47562 • 47562 • 47562, 44970-51 • 47562, 44970-59 (correct answer, your response) Rationale: Code 47562 represents the laparoscopic cholecystectomy.Code 90461 is additionally reported for the counseling associated with each additional component of any combination vaccine or toxoid. The + symbol next to code 90461 indicates that it is an add-on code, just like 90466 was an add-on code to 90465 and 90468 was an add-on code to 90467. An add-on code (ie, 90461) can only be reported in ...Other insurers use CPT code 99417, which is for established patient visits of 55 minutes or more and new patient visits of 75 minutes or more. With both codes, prolonged services are billed in 15 ...Subsection deleted, January 1, 2024. CPT code 49568 was an AOC describing implantation of mesh or other prosthesis for incisional or ventral hernia repair. (CPT code 49568 was deleted January 1, 2023.) Most CPT codes that describe a procedure that includes a hernia repair include insertion of mesh or other prosthesis.CPT Codes. Surgery. Surgical Procedures on the Digestive System. Surgical Procedures on the Colon and Rectum. Repair Procedures on the Rectum. 45550. 45541. 45550. 45560.In 2023, general surgery has new and revised codes as well as code deletions. Here, we take a look at the updates for 7 key modalities: Anterior Abdominal Hernia Repair. There are many changes to the hernia repair codes for epigastric, incisional, ventral, umbilical, and spigelian abdominal hernias. Deleted codes : codes 49560-49590 …Item 49590: • Has been created to provide a new item for open or arthroscopic excision of a ganglion, cyst or bursa around the knee. • The item is an independent procedure and cannot be claimed with other surgical operations; in particular, theUpdates to Evaluation & Management (E/M) E/M guideline changes impact the following code ranges: Hospital Inpatient and Observation Care Services codes 99221-99223, 99231-99239. Consultations codes 99242-99245, 99252-99255. Emergency Department codes 99281-99285. Nursing Facility Services codes 99304-99310, 99315, … Cpt 49590, The in-person requirement on Medicare telemental health services is delayed until on or after January 1, 2025. Medicare coverage and payment of audio only services will continue through December 31, 2024. The acute hospital care at home model is extended through 2024.RPM can permanently be used for both chronic and acute conditions., 47490, Under Introduction Procedures on the Biliary Tract. The Current Procedural Terminology (CPT ®) code 47490 as maintained by American Medical Association, is a medical procedural code under the range - Introduction Procedures on the Biliary Tract., The Clinical Payment and Coding policies on our website describe payment rules and methodologies for CPT ®, HCPCS and ICD-10 coding for claims submitted as covered services. This information is a resource for our payment policies; it is not intended to address all reimbursement-related issues. We regularly add and modify, Reporting 69209. CPT® code 69209 Removal impacted cerumen using irrigation/lavage, unilateral reports removal of impacted cerumen by irrigation and/or lavage. This method is less invasive than 69210: A continuous, low-pressure flow of liquid (e.g., saline solution) is used to gently loosen impacted cerumen and flush it out, with or without the ..., In the healthcare industry, accurate coding is essential for proper billing and reimbursement. Two important coding systems used are CPT codes and diagnosis codes. These codes play..., Drugs administered other than oral method, chemotherapy drugs. J9190 is a valid 2024 HCPCS code for Injection, fluorouracil, 500 mg or just " Fluorouracil injection " for short, used in Medical care ., the CPT Manual 2023 to understand the nuances and rules that apply to any of these codes. These coding changes took effect January 1, 2023. NEW CODES pAVF Creation Two new codes (36836, 36837) were created to describe pAVF creation in the upper extremity for hemodialy-sis access. Both codes are bundled, and each includes , 49592 - CPT® Code in category: Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ve... CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA., 49521 - CPT® Code in category: Repair recurrent inguinal hernia, any age... CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following products: Find-A-Code Essentials., Reimbursement For The 97039 CPT Code. Such a determination permits you to bill the patient directly and lowers the risk that the carrier will demand a future refund because the service was misrepresented using CPT code 97026 (Application of a modality to 1 or more areas; infrared).. If the carrier has adopted HCPCS Level II private payer S codes into its code set, you would instead report cold ..., For the purpose of CPT coding and reimbursement, hernia repairs are classified as inguinal or ventral, with a few other unusual hernia types. ... (49590) or lumbar (49540) hernias. There are no specific CPT codes at all for obturator hernias. Incisional hernias deserve special attention, as these codes were valued without including …, Call 844-334-2816 to speak with a Codify by AAPC specialist now. CPT Code 49550, Hernioplasty, Herniorrhaphy, Herniotomy Procedures, Hernia Open Procedures - Codify by AAPC., Hernioplasty, Herniorrhaphy, Herniotomy Procedures CPT. ®. Code range 49491- 49659. The Current Procedural Terminology (CPT) code range for Hernioplasty, Herniorrhaphy, Herniotomy Procedures 49491-49659 is a medical code set maintained by the American Medical Association., CPT Code 49525, Hernioplasty, Herniorrhaphy, Herniotomy Procedures, Hernia Open Procedures - Codify by AAPC. Select. Code Sets; Indexes; Code Sets and ... By G. John Verhovskek MA CPC To assign an appropriate hernia repair code from the more than 30 choices that CPT offers 49491 49590 and 4965049659 youll probably need to answer at …, My doctor did a laproscopic appendectomy followed by an umbilical hernia repair ( planned procedures) cpt codes used are 44970 and 49585, these codes are not bundled according to cci edits, neither code is considered a separate procedure. Can I bill these together. Many articles I read state that the hernia cannot be billed with the lap ..., See sales history and home details for 49590 Loren Ct, La Quinta, CA 92253, a 4 bed, 4 bath, 2,628 Sq. Ft. single family home built in 2003 that was last sold on 06/10/2004., 49590: Repair spigelian hernia. 2020 QI: Lap Chole CPT Codes 47562: Laparoscopy, surgical; cholecystectomy ... 47564: Laparoscopy, surgical; cholecystectomy with exploration of common duct. 2020 QI: Hysterectomy CPT Codes 58150: Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or, Surgeon CPT, APC & DRG Codes Ethicon Reimbursement Support Services - (888) 750-1242 APC APC Description Status Indicator Nat Average Medicare Payment4 Hospital Outpatient Department 5301 Level 1 Upper GI Procedures (CPT code: 44799) T $786 5311 Level 1 Lower GI Procedures (CPT code: 45399) T $764, Good morning, Quartz readers! Good morning, Quartz readers! What to watch for today Japanese government and central bank join forces on “reflation.” A senior minister from new Japa..., This article is revised to add Type of Bill (TOB) and Revenue codes in the Bill Type Codes and Revenue Codes fields and CPT codes 64585 and 64595 to the Ancillary Codes in the Group 2 Codes as indicated in the Internet Only Manual (IOM) Claims Processing Manual,, Publication 100-4 Chapter 32, Section 40.2-40.5., 2. 99000 CPT code description. The official description of CPT code 99000 is: "Handling and/or conveyance of specimen for transfer from the office to a laboratory.". 3. Procedure. The 99000 procedure involves the following steps: Collection of the specimen from the patient. Centrifuging the specimen, if necessary., Home Visit Services CPT. ®. Code range 99500- 99600. The Current Procedural Terminology (CPT) code range for Home Health Procedures and Services 99500-99600 is a medical code set maintained by the American Medical Association., CPT Codes. Surgery. Surgical Procedures on the Urinary System. Surgical Procedures on the Kidney. Incision Procedures on the Kidney. 50081. 50080. 50081. 50100., CPT Codes. Surgery. Surgical Procedures on the Musculoskeletal System. Application of Casts and Strapping. Lower Extremity Application of Casts and Strapping. Lower Extremity Application of Strapping-Any Age. 29520. 29515. 29520., Retention. CPT® Editorial Summary of Panel Actions February 2021. Editorial Panel actions that a request for reconsideration has been received. Comments should include (i) a statement of the nature of the commenter’s interest in the issue, (ii) the specific comment and reason for the comment, and (iii) all relevant material including any ..., Summary. The provider uses any approach to perform initial repair of one or more anterior abdominal hernias with a total length of 3 cm to 10 cm. The hernias are reducible, or able to be pushed back inside the abdominal wall. The provider may implant mesh or another prosthesis. For clinical responsibility, terminology, tips and additional info. , 49594 - CPT® Code in category: Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ve... CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA., The Current Procedural Terminology (CPT ®) code 95940 as maintained by American Medical Association, is a medical procedural code under the range - Intraoperative Neurophysiology Procedures. Subscribe to Codify by AAPC and get the code details in a flash., Key 2023 CPT Changes: What ASCs Must Know. By Mandeara Frye, RHIA, CPC, CPMA, CASCC, Senior Director, Coding. January is right around the corner, so it's time to begin preparing for the CPT code set that will be the standard in the new year. 2023 is bringing significant changes to the codes used in ASCs., CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following products: Find-A-Code Essentials; Find-A-Code Professional; Find-A-Code Premium; Find-A-Code Elite, Nov 30, 2022 · Learn how to code anterior abdominal hernia repairs with the new CPT codes 49590 and 49591-49596, 49613-49618, 49621-49622, and 49623 in 2023. Find out what's new, what's changed, and what you can partner with your surgeons on to ensure detailed documentation and accurate coding. , The Current Procedural Terminology (CPT) code range for Introduction, Revision, and/or Removal Procedures on the Abdomen, Peritoneum, and Omentum 49400-49402 is a medical code set maintained by the American Medical Association. Subscribe to Codify by AAPC and get the code details in a flash. Request a Demo 14 Day Free Trial ..., CPT® code selection does not differentiate between direct (superficial inguinal ring) and indirect (deep inguinal ring) inguinal hernias. ... Spigelian (49590 Repair spigelian hernia): The spigelian hernia is sometimes referred to as a lateral ventral hernia. These hernias occur laterally along the outer edge of the six-pack abdominal muscles ...