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Surgical Coding Precision: CPT Code for Removal of Infected Mesh

November 19, 2023 by JoyAnswer.org, Category : Healthcare

What is the CPT code for removal of infected mesh? Navigate surgical coding with precision by learning the CPT code for the removal of infected mesh. This guide provides information on the procedural code for this medical intervention.


Surgical Coding Precision: CPT Code for Removal of Infected Mesh

What is the CPT code for removal of infected mesh?

The CPT (Current Procedural Terminology) code for the removal of infected mesh would typically fall under the category of surgical mesh removal or revision. However, it's important to note that CPT codes can vary based on the specific circumstances of the procedure, the anatomical site, and the complexity of the surgery.

The most appropriate CPT code for the removal of infected mesh would be determined by the surgeon or healthcare provider based on the specifics of the procedure performed.

Here are a few potential CPT codes that might be used for the removal of infected mesh:

  • CPT code 49568: Removal of infected abdominal wall mesh or prosthesis, including the components for placement and/or repair.
  • CPT code 49570: Removal of infected vaginal mesh or prosthesis, including the components for placement and/or repair.

Please note that these codes are indicative and should not be used without proper consultation with a qualified healthcare professional or coder. The specific circumstances and details of the surgery will determine the most appropriate CPT code for billing and documentation purposes.

Medical coding requires precise documentation and accurate code selection to ensure proper reimbursement and compliance with healthcare regulations. Always consult with a healthcare provider, coder, or billing specialist for accurate coding guidance related to specific medical procedures.

1. CPT Code for Removing Infected Mesh

The CPT code assigned for the removal of infected mesh is 11008. This code is used for the removal of prosthetic material or mesh from the abdominal wall for infection, such as for chronic or recurrent mesh infection or necrotizing soft tissue infection.

2. Coding Considerations for Removing Infected Mesh

There are a few coding considerations when removing infected mesh:

  • Code 11008 must be reported in addition to the code for the primary procedure. For example, if the infected mesh is removed during a hernia repair, code 11008 would be reported in addition to the code for the hernia repair.

  • Code 11008 may be reported with code 10180 (incision and drainage, complex, postoperative wound infection) or code 11005 (debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection, abdominal wall), as appropriate. This is because the removal of infected mesh often involves debridement of infected tissue.

3. Difference Between CPT Codes for Removing Infected Mesh and Routine Mesh Removal

The CPT code for removing infected mesh (11008) is different from the code for routine mesh removal (20680) because it includes the additional work of debriding infected tissue. Code 20680 is only used for the removal of non-infected mesh.

Here is a table summarizing the key differences between the two codes:

CPT CodeDescription
11008Removal of prosthetic material or mesh from the abdominal wall for infection
20680Removal of implant; deep (e.g., buried wire, pin, screw, metal band, nail, rod or plate)

Tags CPT Code , Medical Coding , Mesh Removal

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