CPT® Code 49594

Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated

The CPT® Code 49594 refers to the initial repair of anterior abdominal hernias, which include types such as epigastric, incisional, ventral, umbilical, and spigelian hernias. This procedure can be performed using various approaches, including open surgery, laparoscopic techniques, or robotic assistance. An anterior abdominal hernia occurs when tissue or parts of an organ, such as the intestines, protrude through a defect in the abdominal wall. The repair process involves addressing hernias that are classified as incarcerated or strangulated, meaning that the contents of the hernia sac cannot be easily pushed back into their normal position within the abdomen, and there is a risk of compromised blood circulation to those contents. The total length of the defect being repaired ranges from 3 cm to 10 cm. The procedure may also involve the implantation of mesh or other prosthetic materials to reinforce the repair and reduce the likelihood of recurrence. This code is specifically designated for cases where the hernia is not reducible, indicating a more complex surgical intervention is required to restore normal anatomy and function.