2025 CPT code 49525
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Hernia repair Surgery Feed
Surgical repair of a sliding inguinal hernia in a patient of any age.
Modifiers may be applicable depending on the circumstances of the procedure. For example, modifier 50 is used for bilateral procedures, and other modifiers might be necessary to indicate anesthesia services or other related procedures.
The medical necessity for hernia repair is generally established by the presence of symptoms such as pain, discomfort, or a palpable lump.In cases of incarcerated or strangulated hernias, immediate surgical intervention is medically necessary to prevent serious complications.
The surgeon is responsible for all aspects of the procedure, including pre-operative assessment, intra-operative repair, and post-operative care.
In simple words: The doctor surgically fixes a sliding inguinal hernia. This type of hernia involves an abdominal organ pushing through a weak spot in the groin. The doctor makes a cut in the groin, repairs the weak spot, and puts the organ back in its proper place.
This procedure involves the surgical repair of a sliding inguinal hernia, a type of hernia where an abdominal organ (like the bladder or colon) forms part of the hernia sac.After appropriate preparation and anesthesia, an incision is made in the groin. The external oblique fascia is incised, and the hernia sac is dissected from surrounding structures.Adhesions are separated, and the hernia contents are reduced (returned to the abdomen). The hernia sac is closed, bleeding is controlled, instruments are removed, and the incision is closed.
Example 1: A 60-year-old male presents with a reducible sliding right inguinal hernia. The surgeon performs a laparoscopic repair using code 49525., A 35-year-old female with a symptomatic sliding left inguinal hernia undergoes an open repair.The surgeon uses code 49525., A 72-year-old male is admitted to the hospital with an incarcerated sliding inguinal hernia requiring emergency surgery. The appropriate hernia repair code (49525) is used along with codes for the repair of the strangulated contents, if any.
** Always refer to the most current CPT and payer guidelines for accurate coding and reimbursement.This information is for educational purposes and should not be considered medical advice.
- Revenue Code: P5C (AMBULATORY PROCEDURES - INGUINAL HERNIA REPAIR)
- RVU: The relative value units (RVUs) for this code will vary based on geographic location, facility type (e.g., hospital outpatient department vs. ambulatory surgical center), and other factors.Consult the appropriate fee schedule for specific values.
- Global Days: The global period for this procedure is not specified in the provided data. It's crucial to refer to the payer's specific guidelines and local coverage determination to find the applicable global period.
- Payment Status: Active
- Modifier TC rule: The provided data does not specify whether a Technical Component (TC) modifier applies to this code.Consult current payer guidelines and the CPT manual for clarification.
- Fee Schedule: Historical fee schedule data is not available in the provided information.Consult fee schedules from relevant years and payers for this information.
- Specialties:General Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center