CPT® Code 49618

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

The CPT® Code 49618 refers to the surgical procedure for the repair of recurrent anterior abdominal hernias, which can include types such as epigastric, incisional, ventral, umbilical, and spigelian hernias. This procedure is characterized by the total length of the hernia defect being greater than 10 cm and may involve complications such as incarceration or strangulation of the hernia. In this context, incarceration refers to the hernia contents being trapped and unable to return to their normal position, while strangulation indicates that the blood supply to the herniated tissue is compromised, potentially leading to tissue necrosis. The repair can be performed using various surgical approaches, including open surgery, laparoscopic techniques, or robotic assistance. The procedure often necessitates the implantation of mesh or other prosthetic materials to reinforce the repair, particularly in cases where the defect is large or recurrent. The surgical process involves careful dissection and inspection of the hernia sac, addressing any adhesions, and ensuring the healthy return of abdominal contents. The complexity of this procedure underscores the importance of accurate coding to reflect the severity and specifics of the surgical intervention performed.