2025 CPT code 49621

Repair of a reducible parastomal hernia using any approach (open, laparoscopic, or robotic), including mesh or prosthesis implantation if performed.

Follow CPT guidelines for hernia repair.Consider the use of modifier 59 if additional procedures are performed at the same operative session.

Modifiers may be applicable depending on the circumstances of the procedure, such as modifier 50 for bilateral procedures (unless noted otherwise in the CPT guidelines), modifier 51 for multiple procedures, or other modifiers as indicated by the specific procedure and payer requirements.

The medical necessity for parastomal hernia repair is based on symptoms such as pain, discomfort, bowel obstruction, or incarceration/strangulation.Documentation should demonstrate the presence of the hernia and the impact on the patient's quality of life.

The surgeon's responsibilities include patient preparation, anesthesia administration (if applicable), incision(s), dissection, reduction of hernia contents, repair of the hernia defect, mesh or prosthesis placement (if needed), hemostasis, and closure of the incision(s).Post-operative care and follow-up are separate services.

IMPORTANT Code 49622 is used for incarcerated or strangulated parastomal hernias.Modifier 59 may be appended if other hernia repairs are performed at the same session.

In simple words: This code covers surgery to fix a hernia near a stoma (opening in the body for waste). The hernia can be pushed back in, and the surgery might include using mesh to reinforce the area. The surgery can be done in different ways (open, laparoscopic, robotic).

This CPT code, 49621, reports the surgical repair of a reducible parastomal hernia.A parastomal hernia is a protrusion of abdominal contents near a stoma (surgical opening). The repair may be performed using an open, laparoscopic, or robotic approach.The procedure includes reduction of the hernia, repair of the defect, and optional implantation of mesh or other prosthesis. The hernia can be initial or recurrent.

Example 1: A 60-year-old patient with a history of colostomy presents with a reducible parastomal hernia. The surgeon performs a laparoscopic repair with mesh placement., A 75-year-old patient who underwent a colectomy develops a recurrent reducible parastomal hernia. An open repair is performed without mesh., A 45-year-old patient with an ileostomy presents with a small reducible parastomal hernia. The surgeon performs a robotic-assisted repair using a minimally invasive approach.

Operative report detailing the approach (open, laparoscopic, robotic), hernia size, reduction technique, type of mesh or prosthesis used (if any), and closure method. Preoperative and postoperative diagnosis documentation, including images of the hernia.

** This code includes the implantation of mesh or other prosthesis when performed. If mesh removal is also necessary, code +49623 should be used in addition to 49621.The use of this code is not dependent on patient age or the size of the hernia.

  • Revenue Code: P5E (Ambulatory Procedures - Other)
  • Global Days : 0 days
  • Payment Status: Active
  • Specialties:General Surgery, Colorectal Surgery
  • Place of Service:Office, Ambulatory Surgical Center, Inpatient Hospital
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