49587 cpt code

The global concept does not apply to the code. The carrier is to determine whether the global concept applies and establishes postoperative period, if appropriate, at time of pricing. The code is related to another service and is always included in the global period of the other service. No global day information was found for code.

49587 cpt code. Change the discharge visit code from 1.0 to 0.5 (e.g., 0.5 x CPT code 99238) and subtract one-half of the work RVU for that code • Step 2: Remove all inpatient visit codes (e.g., CPT codes 99231-99233) and subtract the work RVU for those codes • Step 3: Sum the “intra” face- to-face time for the deleted inpatient codes and multiple by 0 ...

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The mouth and anus have mucocutaneous margins. Numerous procedures (e.g., biopsy, destruction, excision) have CPT codes that describe the procedure as an integumentary procedure (CPT codes 10000-19999) or as a digestive …CPT ® no longer recognizes open hernia repair codes 49560-49566 (Repair … incisional or ventral hernia …), 49570-49572 (Repair epigastric hernia …), 49580-49587 (Repair umbilical hernia …), and 49590 (Repair spigelian hernia). Question: OST-247 Find codes 49580-49587 in the Tabular (Main Section) of your CPT coding manual. Which code is most appropriate for the repair of the umbilical hernia? Documentation: PREOPERATIVE DIAGNOSIS: Umbilical and ventral hernia. POSTOPERATIVE DIAGNOSIS: Obstructed ventral hernia. Umbilical hernia. What CPT® code is reported? a. 15574 c. 15750 b. 15740 d. 15758 ANS: A Rationale: In the CPT® Index look for Pedicle Flap/Formation, you are directed to 15570-15576. ... This directs you to codes 49582, 49587 and 49653. Code 49587 represents this procedure is performed ona patient 5-years-old and above. Look in the ICD-10-CM Index to Diseases ... CPT code 49587 is used. c. CPT code 49585 is used for greater than age 5. What is the CPT code for excision of a 3.2 cm benign lesion of the trunk? a. Jun 1, 2008 ... ... code for placement of a pain pump after 15830 and 49587 ... CPT or HCPCS codes that describe placement of a pain pump catheter. For example, code ...Cpt ® provides just the following two codes for laparoscopic inguinal hernia repair: For Code 47010, Go To Cpt Index Main Term Hepatotomy, Subterm Drainage, Qualifier Abscess, And Qualifier Open. 49587 (reducible) 49587 (incarcerated or strangulated) repair spigelian hernia 49590;If, however, a doctor performed a more complicated procedure on a patient’s liver, 47350 would no longer be the correct code to use. If we look in the CPT manual, we find the code 47360 below 47350. Code 47360 reads “complex suture of liver wound or injury, with or without hepatic artery ligation.”.

Codify by AAPC helps you quickly and accurately select the CPT® codes you need to keep your claims on track. With Codify by AAPC cross-reference tools, you can check common code pairings. You also get CPT to ICD-10-CM, CPT to HCPCS, and CPT to Modifier crosswalks. Our NCCI Edit tool will help you prevent denials from Medicare’s National ...Archived Procedure Code Tables. View or print archived procedure code tables. P.O. Box 1437, Slot S401. Little Rock, AR 72203-1437. 501-682-8292. Fax: 501-682-1197.49587) have distinct codes based on the age of the patient. Until 1994, separate repair codes were used to report incarcerated hernias and strangulated hernias. These two patient presentations were combined in the 1994 CPT revision. Until 1994, separate codes were used to report different approaches to hernia repair, such as anDeleted CPT Codes for 2023. In CPT® 2023, 18 hernia repair codes have been deleted. For open hernia repair, you will no longer need to report the following codes: 49560-49566 (Incisional or ventral hernia CPT codes) 49570-49572 (Epigastric hernia repair CPT codes) 49580-49587 (Umbilical hernia repair CPT codes) 49590 (Spigelian …49587 (incarcerated or strangulated) Repair spigelian hernia 49590. Add-on code (+) 49568 Implantation of mesh or other prosthesis for open incisional or ventral …HCPCS. E-Codes. Before an item can be considered DME, it must meet all of the following requirements: It must be able to withstand repeated use. It must be primarily and customarily used to serve a medical purpose. It must be generally not useful to a person in the absence of an illness or injury. It must be appropriate for use in the home.

Precertification information. Precertification applies to all benefits plans that include a precertification requirement. Participating providers are required to pursue precertification for procedures and services on the lists below. 2024 Participating Provider Precertification List – Effective date: May 1, 2024 (PDF)Find details for CPT® code 49560. Know how to use CPT® Code 49560 through Codify CPT® codes Lookup Online Tools.If you own a home, you will typically receive a property tax statement each year. This statement shows the appraised value of your property, tax rate and applicable exemptions. How...In the CPT book it says to code the repair of the strangulated hernia in addition to the codes for teh excision of the starngulated organ/structure. Can I bill the 44120 and 49587 together? There is a cci edit, with a "9". Thanks . R. Robin R Networker. Messages 75 Location Salix, PA Best answers 0. Jul 23, 2010CPT® PLA Codes. Explore information about the CPT® new Proprietary Laboratory Analyses (PLA) Codes and how to request that codes be added to the PLA section of the CPT Code. Review the criteria for CPT® Category I, Category II and Category II codes, access applications and read frequently asked questions.Jan 1, 2023 · By Ken Camilleis CPC CPCI CMRS 160 Addon code 15777 Implantation of biologic implant eg acellular dermal matrix for soft tissue reinforcement eg breast trunk List separately in addition to code for pr... [ Read More ] Find details for CPT® code 49568. Know how to use CPT® Code 49568 through Codify CPT® codes Lookup Online Tools.

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Change the discharge visit code from 1.0 to 0.5 (e.g., 0.5 x CPT code 99238) and subtract one-half of the work RVU for that code • Step 2: Remove all inpatient visit codes (e.g., CPT codes 99231-99233) and subtract the work RVU for those codes • Step 3: Sum the “intra” face- to-face time for the deleted inpatient codes and multiple by 0 ... Find details for CPT® code 49561. Know how to use CPT® Code 49561 through Codify CPT® codes Lookup Online Tools. ... I think this should be 49561 and 49587 ...CPT® Code CPT® Code CPT® Code CPT® Code CPT® Code CPT® Code CPT® Code CPT® Code CPT® Code The data in this appendix is based on the OPPS/ASC proposed rule for CY 2024. Please check the CMS website at www.cms.gov for final updates. Codes appearing in this appendix may contain a placeholder “X.”Individual Current Procedural Terminology codes are available online for free through the CPT Code/Relative Value Search, according to the American Medical Association. It is possi...Apr 15, 2019 · Hello, Need Clarification. According to CCI edits, If a hernia repair is performed at the site of an incision for an open or laparoscopic abdominal procedure, the hernia repair (e.g., CPT codes 49560-49566, 49652-49657) is not separately reportable. The hernia repair is separately reportable if... In this procedure, the provider surgically repairs an inguinal hernia that is incarcerated, meaning trapped, or strangulated, meaning the blood supply is cut off. Use this code for initial hernia repair in patients 5 years of age or older. For clinical responsibility, terminology, tips and additional info. start codify free trial.

Password protecting your cell phone is wise. Thieves, hackers and sometimes even your friends may try to gain entry into your cellular phone. Resetting your security code will prev...Postal ZIP Codes - ZIP codes are five digit numbers that represent specific locations in the United States. Learn about ZIP codes and find out why ZIP codes were created. Advertise...My doctor did a laproscopic appendectomy followed by an umbilical hernia repair ( planned procedures) cpt codes used are 44970 and 49585, these codes are not bundled according to cci edits, neither code is considered a separate procedure. Can I bill these together. Many articles I read state that the hernia cannot be billed with the lap ...Also, be aware of these special notes about the report or form: 60 Day Report. 99080. $51.11. 60 day reports are required per WAC 296-20-06101 and don’t need to be requested by the insurer. Not payable for records required to support billing or for review of records included in other services.49561 Repair initial incisional or ventral hernia; incarcerated or strangulated. 49585 Repair umbilical hernia, age 5 or older; reducible. 49587 Repair umbilical hernia, age 5 or older; incarcerated or strangulated. INDEPENDENT BILLING REVIEW FINAL DETERMINATION. Disputed Codes: Rev Codes 0250 x 4, 0271, 0272, 0370, 0710, …The ACEP Reimbursement Committee and the Coding and Nomenclature Advisory Committee, together have identified the most common reasons that payers inappropriately deny ED claims. A series of templated letters has been prepared to assist you in appealing these claims with your local payers. ... (CPT codes 29105-29130 and 29505-29515) with …Question: OST-247 Find codes 49580-49587 in the Tabular (Main Section) of your CPT coding manual. Which code is most appropriate for the repair of the umbilical hernia? Documentation: PREOPERATIVE DIAGNOSIS: Umbilical and ventral hernia. POSTOPERATIVE DIAGNOSIS: Obstructed ventral hernia. Umbilical hernia.An exploratory laparotomy (CPT code 49000) is not separately reportable with an open abdominal procedure. 2. Hepatectomy procedures (e.g., CPT codes 47120-47130, 47133-47142) include removal of the gallbladder, based on anatomic considerations and standards of practice. ADate of Service CPT Code/Modifier Days/Units 10/1/15 28010-T1 1 10/1/15 28010-T3 1 Identical services being repeated should be submitted using CPT modifier 76, 77, or 91. •CPT Modifier 76: 'Repeat procedure by same physician: The physician may need to indicate that a service was repeated the same day subsequent to the original service.Jan 1, 2023 · By Ken Camilleis CPC CPCI CMRS 160 Addon code 15777 Implantation of biologic implant eg acellular dermal matrix for soft tissue reinforcement eg breast trunk List separately in addition to code for pr... [ Read More ] Find details for CPT® code 49568. Know how to use CPT® Code 49568 through Codify CPT® codes Lookup Online Tools. CPT ® no longer recognizes open hernia repair codes 49560-49566 (Repair … incisional or ventral hernia …), 49570-49572 (Repair epigastric hernia …), 49580-49587 (Repair umbilical hernia …), and 49590 (Repair spigelian hernia).

Jan 7, 2010 · True Blue. If a hernia repair is performed at the site of an incision for an open or laparoscopic abdominal procedure, the hernia repair (e.g., CPT codes 49560-49566, 49652-49657) is not separately reportable. The hernia repair is separately reportable if it is performed at a site other than the incision and is medically reasonable and necessary.

associated with the deleted codes and creating new chargemaster line items for the 2023 CPT® codes as described in this paper. See . the chart on page 10 for a concise list of the new codes.” Initial Incisional or Ventral Hernias; Reducible CMS deleted the following HCPCS code effective 01/01/2023: CPT® Description 49560Page 1. PROC_CODE. PROC_NAME. CPT_CODE. Unit Charge. UB Rev Code ... 49587. 7,936.00. 0361. T49650. HC LAPAROSCOPY SURG ... CODE). 92960. 2,030.00. 0480. T92961. HC ...size of hernia. Age, approach and whether mesh or other prosthesis were utilized will no longer factor into code assignment for these types of hernias (49591 - 49618). CPT Codes 49560 - 49561, 49565 - 49566, 49568, 49570-49572, 49580 - 49582, 49585 - 49587, 49590, 49652 - 49656 have been deleted.A. 11201 x 3. B. 11200, 11201. C. 11200, 11201 x 2. D. 11200, 11201 - 51 x 2. C. 11200, 11201 x 2. Rationale: CPT code 11200 is reported for the first 15 lesions; 11201 is an add-on code, used in addition to 11200. Code 11201 reports each additional 10 lesions, or part thereof. After reporting 11200, we have 15 skin tags remaining to report.Find details for CPT® code 49560. Know how to use CPT® Code 49560 through Codify CPT® codes Lookup Online Tools.Postal ZIP Codes - ZIP codes are five digit numbers that represent specific locations in the United States. Learn about ZIP codes and find out why ZIP codes were created. Advertise...Find details for CPT® code 49585. Know how to use CPT® Code 49585 through Codify CPT® codes Lookup Online Tools.Coding and billing tools for ICD-10-CM/PCS, CPT, HCPCS. Search tools, index look-up, tips, articles and more for medical and health care code sets. ... 2024 CPT Code Changes Dec 7th ; ICD-10-CM Guidelines for Coding Symptoms Nov 15th ; 2023 Evaluation and Management Question and Answer Oct 12th ; 2024 ICD-10-CM Annual Updates Sep 7th ;RVU stands for relative value unit. It is a value assigned by CMS to certain CPT ® and HCPCS Level II codes to represent the cost of providing a service. An RVU is made up of three components: physician work, practice expense, and malpractice. Medicare payments are determined by RVUs multiplied by a monetary conversion factor and a geographic ...

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CPT stands for Current Procedural Terminology and is administered by the AMA (American Medical Association). HCPCS stands for Healthcare Common Procedural Coding System and is base...Developing apps normally needs experienced programmers who are familiar with development. However, these low-code and no-code apps change the paradigm. Receive Stories from @elinex...Free 2024 HCPCS Codes (7964) Free 2024 HCPCS Codes. (7964) HCPCS Codes. Count. Description. 'A' Codes. 815. Transportation Services Including Ambulance, Medical & Surgical Supplies.CPT codes are a standardized system and a way for payers and insurers to speak the same language about medical services. Providers submit claims with these CPT codes to receive payment from insurers. In general, OB billing codes range from 56405 to 59899, but you may use other codes outside that range for routine gynecologic care and well … RVU stands for relative value unit. It is a value assigned by CMS to certain CPT ® and HCPCS Level II codes to represent the cost of providing a service. An RVU is made up of three components: physician work, practice expense, and malpractice. Medicare payments are determined by RVUs multiplied by a monetary conversion factor and a geographic ... Significant coding changes take effect in 2023 for reporting anterior abdominal hernia repair, including: Deletion of codes 49560–49590, which describe open repair of anterior abdominal hernias. Deletion of codes 49652–49657, which describe laparoscopic repair of anterior abdominal hernias. Deletion of add-on code 49568, which was reported ...47600 - CPT® Code in category: Cholecystectomy... CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following products: Find-A-Code Essentials. Find-A-Code Professional.Anyone who has worked in any portion of the medical field has had to learn at least a little bit about CPT codes. These Current Procedural Terminology codes are used to document an... ….

51500 RATIONALE: Umbilical hernia repair codes are reported using CPT® 49580-49587 and are differentiated by the age of the patient and whether or not the hernia is reducible, incarcerated or strangulated. A reducible hernia is one that can be reduced to a normal position. An incarcerated or strangulated hernia is one that cannot be reduced to a …Contents. Trusted for more than 50 years, the Current Procedural Terminology (CPT®) medical billing and codes set drives communication across health care by enabling the seamless processing and advanced analytics for coding medical procedures and services. CPT® is also the code to medicine’s future. Constantly …CPT ® revised the codes and concepts used for coding for hernia repair. These are significant changes for surgical procedures that are used very frequently. At the start of the repair codes, the AMA has new language that says “The hernia repair codes in this section are categorized primarily by the type of hernia (inguinal, femoral, lumbar, omphalocele, anterior abdominal, parastomal.)CPT® Code CPT® Code CPT® Code CPT® Code CPT® Code CPT® Code CPT® Code CPT® Code CPT® Code The data in this appendix is based on the OPPS/ASC proposed rule for CY 2024. Please check the CMS website at www.cms.gov for final updates. Codes appearing in this appendix may contain a placeholder “X.”CPT CODES for MRI SCANS Murray Center 5323 South Woodrow Street Murray, UT 84107 / Suite 100 P (801) 713-0600 F (801) 713-0601 Ogden Center 1486 East Skyline Drive So. Ogden, UT 84405 / Suite 100 P (801) 475-4552 F (801) 475-4578 MountainMedical.com. Title: CptCodes_MB03.pdf Author: marycArchived Procedure Code Tables. View or print archived procedure code tables. P.O. Box 1437, Slot S401. Little Rock, AR 72203-1437. 501-682-8292. Fax: 501-682-1197.HCPCS. E-Codes. Before an item can be considered DME, it must meet all of the following requirements: It must be able to withstand repeated use. It must be primarily and customarily used to serve a medical purpose. It must be generally not useful to a person in the absence of an illness or injury. It must be appropriate for use in the home.Key points include: The new codes identify anterior abdominal hernia repairs by initial vs. recurrent and incarcerated vs. reducible, and by size of defect. Procedures that are performed by open, laparoscopic, and robotic approach are all represented in the new codes. CPT code 49568 for reporting implantation of mesh has been deleted.Under Associated Information Documentation Requirements the verbiage “A routine “resting” EEG (as described by CPT codes 95812, 95813, 95816, 95819, 95822 or 95827) must be performed prior to performing an ambulatory continuous EEG (CPT code 95953). A claim for the routine EEG must have been submitted to Medicare with a DOS within 1 …CPT ® no longer recognizes open hernia repair codes 49560-49566 (Repair … incisional or ventral hernia …), 49570-49572 (Repair epigastric hernia …), 49580-49587 (Repair umbilical hernia …), and 49590 (Repair spigelian hernia). 49587 cpt code, CPT ® Code Set. 44120 - CPT® Code in category: Enterectomy, resection of small intestine... CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following …, According to the AMA CPT Section Guidelines: CPT code 55520 If the Excision of a lesion of the spermatic cord was performed as a DISTINCT Procedure and NOT as a Component of 49505 inguinal hernia rep... [ Read More ] billing for inguinal hernia and spermatic cord lipoma. Per CPT Assistant, September 2000 Page: 10 Category: Coding Consultation ..., Mar 1, 2017 · The following CPT codes are used to report hernia repair: 49505 – Repair initial inguinal hernia > 5 yrs. or over, reducible, under 5 years. 49560 – Repair initial incisional or ventral hernia; reducible. 49561 – Repair initial incisional or ventral hernia; incarcerated or strangulated. 49585 – Repair umbilical hernia, age 5 or older ... , The Code of Hammurabi is an important artifact because it sheds light on laws in Babylonia. Learn why the Code of Hammurabi explains "an eye for an eye." Advertisement When we thin..., Below is a list summarizing the CPT codes for patient history. CPT Code 1000F CPT 1000F describes Tobacco use assessed for CAD, CAP, COPD, and PV in patients with DM. CPT Code 1002F CPT 1002F describes assessing anginal symptoms and activity levels with no associated measure. CPT Code 1003F CPT 1003F describes a level of..., In the healthcare industry, accurate coding is essential for proper billing and reimbursement. Two important coding systems used are CPT codes and diagnosis codes. These codes play..., New cpt codes 49593, 49594 and 49615 for umbilical hernia repair were introduced in 2023. The full 2023 cpt code descriptors are presented in table 1. The procedure aims to push a fatty lump back into the belly. ... 49587 (reducible) 49587 (incarcerated or strangulated) repair spigelian hernia 49590; Source: www.bariatricsurgerynewjersey.com., Current Procedural Terminology (CPT®) codes provide a uniform nomenclature for coding medical procedures and services. Medical CPT codes are critical to streamlining reporting and increasing accuracy and efficiency, as well as for administrative purposes such as claims processing and developing guidelines for medical care review. The AMA develops and manages CPT codes on a rigorous and ..., CPT ® Code Set. 44120 - CPT® Code in category: Enterectomy, resection of small intestine... CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following …, Key points include: The new codes identify anterior abdominal hernia repairs by initial vs. recurrent and incarcerated vs. reducible, and by size of defect. Procedures that are performed by open, laparoscopic, and robotic approach are all represented in the new codes. CPT code 49568 for reporting implantation of mesh has been deleted., 43244, K70.30, I85.11, F10.10 Rationale: Ligation of esophageal gastric varices endoscopically is coded with CPT® code 43244. Look in the CPT® Index for Ligation/Esophageal Varices. In the ICD-10-CM Alphabetic Index, look for Varices that has a note - see Varix., My doctor did a laproscopic appendectomy followed by an umbilical hernia repair ( planned procedures) cpt codes used are 44970 and 49585, these codes are not bundled according to cci edits, neither code is considered a separate procedure. Can I bill these together. Many articles I read state that the hernia cannot be billed with the lap ..., 2D barcodes are being used in some interesting ways. Visit HowStuffWorks to learn everything about 2D barcodes. Advertisement In the summer of 1974 at a grocery store in Troy, Ohio..., In the healthcare industry, accurate documentation and coding are crucial for maximizing revenue and ensuring proper reimbursement. One important aspect of this process is the Nati..., Popup is a no-code platform for the creation, management and hosting of online stores using a drag-and-drop visual editor. Two former Shopify employees think they have cracked the ..., Date of Service CPT Code/Modifier Days/Units 10/1/15 28010-T1 1 10/1/15 28010-T3 1 Identical services being repeated should be submitted using CPT modifier 76, 77, or 91. •CPT Modifier 76: 'Repeat procedure by same physician: The physician may need to indicate that a service was repeated the same day subsequent to the original service., The following CPT codes are used to report hernia repair: 49505 – Repair initial inguinal hernia > 5 yrs. or over, reducible, under 5 years. 49560 – Repair initial incisional or ventral hernia; reducible. 49561 – Repair initial incisional or ventral hernia; incarcerated or strangulated. 49585 – Repair umbilical hernia, age 5 or older ..., What is cpt code 49587? - Answers. Subjects > Beauty & Health > Medical Terminology., Feb 28, 2017 · The 1994 CPT code set added only two codes for laparoscopic hernia repair (49650 and 49651). Laparoscopic hernia repair was developed as a technique long after open hernia repair. In 1994, when codes 49650 and 49651 were created, very few laparoscopic inguinal hernia repairs were performed for incarcerated hernias. , In the healthcare industry, accurate coding is essential for proper billing and reimbursement. Two important coding systems used are CPT codes and diagnosis codes. These codes play..., Also, be aware of these special notes about the report or form: 60 Day Report. 99080. $51.11. 60 day reports are required per WAC 296-20-06101 and don’t need to be requested by the insurer. Not payable for records required to support billing or for review of records included in other services., 51500 RATIONALE: Umbilical hernia repair codes are reported using CPT® 49580-49587 and are differentiated by the age of the patient and whether or not the hernia is reducible, incarcerated or strangulated. A reducible hernia is one that can be reduced to a normal position. An incarcerated or strangulated hernia is one that cannot be reduced to a …, The adjustment of E/M observation codes, among others, prompted the American Medical Association (AMA) to revise the descriptions of numerous codes within the E/M section. As an illustration: Within the Hospital Inpatient Services category, the codes for initial hospital care (cpt code 99221-cpt code 99223), subsequent hospital …, CPT code 49568 represents placement of any type of mesh or other prosthesis, whether synthetic, biologic, or otherwise and whether autograft, dermal graft, …, CPT code 97110 provides information about medical procedures and services to payers and indicate that the procedure involves therapeutic exercises that develop endurance, range of ..., 49580-49587 (Repair umbilical hernia … 49590 ( Repair spigelian hernia ) Nor will you use the following deleted codes for laparoscopic hernia repair next year:, Although, “there are some notable differences in this area when it pertains to CPT® versus CMS,” Jimenez forewarned. “One of the biggest changes, I think, in the 2023 changes was the elimination of observation codes,” Jimenez said. Effective Jan. 1, 2023, hospital observation codes 99217-99220 and 99224-99226 are deleted., "CPT 2011 distinguishes the codes based on whether the surgeon performs the procedure percutaneously, laparoscopically, or via an open approach, which makes much more sense," Bishop says. Use 49324 for a laparoscopic procedure, 49418 for a percutaneous service, and 49421 for an open insertion., Archived Procedure Code Tables. View or print archived procedure code tables. P.O. Box 1437, Slot S401. Little Rock, AR 72203-1437. 501-682-8292. Fax: 501-682-1197. , 2. Three Main Reasons to Dissect an Operative Report. 1. To ensure coding accuracy 2. For auditing purposes 3. For educational purposes. 3. Helpful Tools. • Having access to the actual operative report, not just a billing sheet where the physician selects the codes., Current Procedural Terminology (CPT®) codes provide a uniform nomenclature for coding medical procedures and services. Medical CPT codes are critical to streamlining reporting and increasing accuracy and efficiency, as well as for administrative purposes such as claims processing and developing guidelines for …, The two codes in question in this case are as follows: 47600 — Cholecystectomy; 49587 — Repair umbilical hernia, age 5 years or older; incarcerated or strangulated. You should code the case as 47600. You should not additionally report 49587 if the surgeon repaired the umbilical hernia through the same incision as the cholecystectomy., Precertification information. Precertification applies to all benefits plans that include a precertification requirement. Participating providers are required to pursue precertification for procedures and services on the lists below. 2024 Participating Provider Precertification List – Effective date: May 1, 2024 (PDF)