CPT® Code 49623

Add-On Code

Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparoscopic, robotic) (List separately in addition to code for primary procedure)

The procedure described by CPT® Code 49623 involves the removal of total or near total non-infected mesh or other prosthesis during the surgical repair of an anterior abdominal hernia or a parastomal hernia. This procedure can be performed using various approaches, including open surgery, laparoscopic techniques, or robotic assistance. The necessity for this procedure arises when previously placed mesh, which is not infected, needs to be removed prior to the hernia repair. This situation may occur in cases where the mesh is older, fractured, or brittle, potentially compromising the integrity of the hernia repair. The removal of the mesh is considered an additional service and is billed separately from the primary hernia repair procedure. The surgical team must take great care during the removal process to avoid damaging the abdominal wall or any visceral contents, ensuring that the area is adequately prepared for the subsequent hernia repair. This meticulous approach is essential for achieving optimal surgical outcomes and minimizing complications.