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CPT 49650 | Laparoscopic Surgery For Repair Of Initial Inguinal Hernia

CPT code 49650 refers to laparoscopic surgery to repair an initial inguinal hernia, during which the herniated intestine is pushed back into place, and mesh may be used to reinforce the abdominal wall to prevent a recurrence.”

What Is CPT Code 49650?

CPT 49650 describes laparoscopic surgery to repair an initial inguinal hernia, which occurs when abdominal contents bulge through the posterior wall of the inguinal canal.

During the procedure, the patient is prepared and anesthetized, and the provider makes small incisions in the abdominal wall and inserts a scope and surgical instruments.

The herniated intestine is pushed back into place, and mesh may be used to reinforce the abdominal wall and prevent hernia recurrence. Next, the incision sites are closed with absorbable sutures, and the ports are removed.”

Description

The CPT book describes CPT code 49650 as: “Laparoscopy, surgical; repair an initial inguinal hernia.”

Procedure

An inguinal hernia involves abdominal contents bulging directly through the posterior wall of the inguinal canal, a passage through the abdominal wall’s lower layers.

When the patient is appropriately prepped and anesthetized, the provider makes a small incision in the abdominal wall and inflates the abdomen with carbon dioxide.

He makes additional small incisions and inserts a scope and surgical instruments through the incisions.

While viewing the internal structures on a monitor, the provider pushes the herniated intestine back into place. He then may place mesh over the defect in the abdominal wall to reinforce it and prevent the hernia from recurring.

The provider removes the ports and closes the incision sites with absorbable sutures. 

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