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2025 CPT code 49557

Repair recurrent femoral hernia; incarcerated or strangulated.

Modifier 50 (Bilateral Procedure) should not be used with this code. If the excision/repair of other organs is necessary, the appropriate code for that procedure should be reported in addition to 49557.

Modifiers may be applicable in certain situations, such as increased procedural services (modifier 22) or discontinued procedures (modifiers 53, 73, 74).

Medical necessity is established by the presence of a symptomatic recurrent femoral hernia that is incarcerated or strangulated. These conditions can lead to serious complications if left untreated.

The surgeon makes an incision in the groin, dissects around the hernia sac, releases the trapped tissue, and repairs the hernia. If necessary, they may also repair or remove damaged organs.

In simple words: This procedure fixes a hernia in the upper thigh that has come back after a previous repair. The hernia is either trapped or its blood supply is cut off, requiring urgent surgery.

Surgical repair of a recurrent femoral hernia that is incarcerated or strangulated.A femoral hernia occurs when abdominal contents protrude through the femoral canal in the upper thigh.An incarcerated hernia is trapped, while a strangulated hernia has its blood supply compromised.

Example 1: A patient presents with a recurrent femoral hernia that has become incarcerated, causing pain and requiring surgical intervention., A patient with a history of femoral hernia repair experiences strangulation of the hernia, necessitating emergency surgery., An elderly patient with a recurrent femoral hernia develops bowel obstruction due to incarceration, requiring urgent surgical repair.

Documentation should include the diagnosis of recurrent femoral hernia, the presence of incarceration or strangulation, and any associated complications. Operative notes should detail the surgical technique, findings, and any additional procedures performed.

** For initial femoral hernia repair, use code 49553.

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