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The procedure described by CPT® Code 11008 involves the surgical removal of prosthetic material or mesh from the abdominal wall due to infection. This infection may be chronic, recurrent, or associated with necrotizing soft tissue infection, which is a severe and rapidly progressing infection that can lead to tissue death. The removal of the infected material is critical to prevent further complications and to promote healing. During the procedure, a surgical incision is made over the area of infection, which typically encompasses the previous surgical scar where the mesh was initially placed. The surgeon then enters the abdominal cavity, either above or below the mesh or other prosthetic material, to access the infected area. The medial borders of the rectus muscle are identified, and blunt dissection is performed to carefully separate the subcutaneous tissue, the mesh, and the abdominal wall scar. This meticulous dissection is essential to ensure that all infected material is removed while preserving surrounding healthy tissue. The posterior abdominal wall is then cleared of all viscera to facilitate the complete removal of the infected mesh and any remnants that may be present. After the removal of the prosthetic material, additional procedures such as debridement, laparotomy, intestinal or fistula repair, and/or abdominal wall reconstruction may be performed as necessary, and these should be reported separately. This comprehensive approach is vital for addressing the infection and restoring the integrity of the abdominal wall.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 11008 is indicated for the removal of prosthetic material or mesh from the abdominal wall in the following situations:
The procedure for CPT® Code 11008 involves several critical steps to ensure the effective removal of the infected prosthetic material or mesh:
Post-procedure care following the removal of prosthetic material or mesh involves monitoring the surgical site for signs of infection, ensuring proper wound healing, and managing any pain or discomfort. Patients may require follow-up visits to assess the healing process and to determine if additional interventions, such as reconstruction or repair, are necessary. It is essential to provide appropriate wound care instructions and to educate the patient on signs of complications that should prompt immediate medical attention. Recovery time may vary depending on the extent of the procedure and the patient's overall health, but careful adherence to post-operative guidelines is crucial for optimal recovery.
| Short Descr | RMV PRSTC MTRL/MESH ABD WALL | Medium Descr | RMVL PROSTC MATRL/MESH ABDL WALL FOR INFECTION | Long Descr | Removal of prosthetic material or mesh, abdominal wall for infection (eg, for chronic or recurrent mesh infection or necrotizing soft tissue infection) (List separately in addition to code for primary procedure) | Status Code | Active Code | Global Days | ZZZ - Code Related to Another Service | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6A - Minor procedures - skin | MUE | 1 | CCS Clinical Classification | 169 - Debridement of wound, infection or burn |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 10180 | MPFS Status: Active Code APC J1 ASC A2 Physician Quality Reporting CPT Assistant Article Illustration for Code Incision and drainage, complex, postoperative wound infection | 11004 | MPFS Status: Active Code APC C Illustration for Code Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia and perineum | 11005 | MPFS Status: Active Code APC C Illustration for Code Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; abdominal wall, with or without fascial closure | 11006 | MPFS Status: Active Code APC C Illustration for Code Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia, perineum and abdominal wall, with or without fascial closure |
| GC | This service has been performed in part by a resident under the direction of a teaching physician | 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 77 | Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | CR | Catastrophe/disaster related | ET | Emergency services | GW | Service not related to the hospice patient's terminal condition | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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Notes
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| 2024-01-01 | Changed | Short and Medium Descriptions changed. |
| 2018-01-01 | Note | AMA Guidelines changed. |
| 2011-01-01 | Changed | Guideline information changed. |
| 2008-01-01 | Changed | Code description changed. |
| 2005-01-01 | Added | First appearance in code book in 2005. |
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