Abdominal Hernia Repair Surgery (3 cm to 10 cm)
HCPCS 49592
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (open, laparoscopic, robotic), initial, reducible; total length of defect(s) 3 cm to 10 cm
AI EXPLANATION: Abdominal hernia repair is a procedure that fixes a gap or tear in the muscles of the belly wall. It is performed for an initial, first-time hernia—such as an umbilical, epigastric, incisional, or ventral hernia—with an opening measuring between 3 and 10 centimeters across where protruding tissue can be pushed back into place. During the operation, a surgeon restores the displaced tissue and closes the muscle defect, often adding reinforcing material, using open, laparoscopic, or robotic surgical methods.
Across 4 hospitals, negotiated prices for this code range from $430 to $21,590. Each dot below is one payer and plan's rate as published by the hospital.
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