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A recurrent femoral hernia repair is a surgical procedure performed to correct a recurrent condition where structures, such as intestines or fatty tissue, protrude through a weakness in the groin area into the upper thigh. This type of hernia is characterized by its location, occurring below the inguinal ligament, and is often reducible, meaning that the contents of the hernia sac can be pushed back into their normal anatomical position. The procedure is applicable to individuals of any age and is necessary when a previous hernia repair has failed, leading to the recurrence of the hernia. The complexity of the repair can vary significantly based on factors such as the extent of the defect, the degree of scarring, and the amount of tissue damage resulting from the initial surgical intervention. The surgical approach involves making an incision in the thigh, carefully dissecting through layers of tissue to access the hernia sac, and meticulously repairing the defect while preserving healthy surrounding tissue. This procedure is critical for alleviating symptoms associated with the hernia and preventing potential complications, such as incarceration or strangulation of the hernia contents.
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The procedure for repairing a recurrent femoral hernia is indicated in the following situations:
The surgical procedure for repairing a recurrent femoral hernia involves several critical steps:
After the procedure, patients are typically monitored for any immediate complications. Post-operative care may include pain management and instructions for activity restrictions to promote healing. Patients are advised to avoid heavy lifting and strenuous activities for a specified period to ensure proper recovery. Follow-up appointments are essential to assess the surgical site and ensure that there are no signs of recurrence or complications. If the hernia was previously incarcerated or strangulated, additional considerations for recovery may be necessary, although this specific procedure is focused on reducible hernias.
| Short Descr | REREPAIR FEM HERNIA REDUCE | Medium Descr | RPR RECRT FEM HERNIA REDUCIBLE | Long Descr | Repair recurrent femoral hernia; reducible | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P5C - Ambulatory procedures - groin hernia repair | MUE | 1 | CCS Clinical Classification | 85 - Inguinal and femoral hernia repair |
| 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. | 50 | Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 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). | 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. | 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.) | 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). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | 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) | SG | Ambulatory surgical center (asc) facility service | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2011-01-01 | Changed | Short description changed. |
| Pre-1990 | Added | Code added. |
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