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2025 CPT code 49525

Surgical repair of a sliding inguinal hernia in a patient of any age.

Consult the latest CPT manual for the most current coding guidelines and any specific instructions or limitations related to code 49525.

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.

IMPORTANT:For incarcerated or strangulated inguinal hernia repair, see codes 49496, 49501, 49507, 49521.For debridement of abdominal wall, see codes 11042, 11043. For reduction and repair of intra-abdominal hernia, use code 44050. Codes 49491-49557, 49600, 49605, 49606, 49610, 49611, 49650, 49651 are unilateral procedures. Use modifier 50 for bilateral procedures. Do not report modifier 50 with codes 49591-49622.

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.

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