Hernia Repair Coding Resources for Surgeons

Effective in 2023, new CPT codes are available to report anterior abdominal hernia repair, including umbilical, ventral, incisional, epigastric, spigelian, and parastomal hernias, regardless of the surgical approach used. These codes are based on the total size of all hernias and have a 0-day global period. The work RVUs for the new codes have not been reduced, but rather account only for the work on day of surgery. Postoperative care is now separately billable. The resources on this page were developed by the ACS to help you understand this new coding paradigm.

This webinar provides information about new CPT codes effective January 1, 2023, that will be used to report anterior abdominal hernia repair for umbilical, ventral, incisional, epigastric, spigelian, and parastomal hernias. Four surgeons with expertise in general surgery coding and reimbursement discuss the new coding structure, new global period, new add-on codes, and more. Drs. Christopher Senkowski, Don Selzer, Charles Mabry, and Ketan Sheth also describe common clinical scenarios and correct coding to assist with understanding the 2023 anterior abdominal hernia repair coding paradigm.

Charles Mabry, MD, FACS, and Ross Goldberg, MD, FACS, discuss frequently asked questions regarding 2023 changes to anterior abdominal hernia repair coding. Drs. Mabry and Goldberg address why and how such changes occurred, the values assigned to these procedures and related post-operative office visits, patient education tips, and additional resources the ACS has developed to help surgeons understand the new anterior abdominal hernia repair codes.