HER — Herniorrhaphy – Repair of inguinal, femoral, umbilical, or anterior abdominal wall hernia; does not include repair of diaphragmatic or hiatal hernia or hernias at other body sites
Procedure Code Category CPT Codes Code Description
CPT code 49491 Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible
CPT code 49492 Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or strangulated
CPT code 49495 Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; reducible
CPT code 49496 Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; incarcerated or strangulated
CPT code 49500 Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible
CPT code 49501 Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated
CPT code 49505 Repair initial inguinal hernia, age 5 years or older; reducible
CPT code 49507 Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated
CPT code 49520 Repair recurrent inguinal hernia, any age; reducible
CPT code 49521 Repair recurrent inguinal hernia, any age; incarcerated or strangulated
CPT code 49525 Repair inguinal hernia, sliding, any age
CPT code 49550 Repair initial femoral hernia, any age; reducible
CPT code 49553 incarcerated or strangulated
CPT code 49555 Repair recurrent femoral hernia; reducible
CPT code 49557 Repair recurrent femoral hernia; incarcerated or strangulated
CPT code 49587 Repair umbilical hernia, age 5 years or older; incarcerated or strangulated
CPT code 49590 Repair spigelian hernia
CPT code 49591 Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible
CPT code 49592 Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, incarcerated
CPT code 49593 Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible
CPT code 49594 Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated
CPT code 49595 Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible
CPT code 49596 Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, incarcerated
CPT code 49600 Repair of small omphalocele, with primary closure
CPT code 49605 Repair of large omphalocele or gastroschisis; with or without prosthesis
CPT code 49606 Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room
CPT code 49610 Repair of omphalocele (Gross type operation); first stage
CPT code 49611 Repair of omphalocele (Gross type operation); second stage
CPT code 49613 Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible
CPT code 49614 Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, incarcerated
CPT code 49615 Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible
CPT code 49616 Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated
CPT code 49617 Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible
CPT code 49618 Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, incarcerated
CPT code 49621 Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible
CPT code 49622 Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated
CPT code 49650 Laparoscopy, surgical; repair initial inguinal hernia
CPT code 49651 Laparoscopy, surgical; repair recurrent inguinal hernia
CPT code 49659 Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy
