What is the correct code assignment for a laparoscopic incisional herniorrhaphy that includes the insertion of mesh?

The correct code assignment for a laparoscopic incisional herniorrhaphy that includes the insertion of mesh is 49656. This specific code is designated for laparoscopic repair of a recurrent incisional hernia, which is differentiated from primary hernias due to the prior surgical repair that has failed and caused the hernia to return.

In the context of coding, understanding the nuances of the procedures is vital. Code 49656 indicates not only that the hernia repair is done laparoscopically but also reflects that mesh is utilized in the process, which is a common practice to reduce the chance of hernia recurrence.

The other code options focus on different aspects of hernia repair or refer to different types of hernias. For example, code 49650 is utilized for a laparoscopic repair of a primary ventral hernia without the mention of mesh, while 49655 pertains to a laparoscopic repair performed at the same time as a different surgical procedure. This distinction is crucial for accurate coding, as comprehensive detail in coding is necessary to capture the complexity of the surgical procedure performed.

Therefore, recognizing that 49656 explicitly covers the laparoscopic approach to a recurrent incisional hernia repair with a mesh insertion is key to understanding