CPT 49657 Lap repair recurrent ventral hernia; 3-10 cm
Last reviewed: May 17, 2026
RVU Values (2026 CMS Fee Schedule)
Common Modifiers
None typically required
Related ICD-10 Codes
K43.2, K43.9
Billing Tips
When billing CPT 49657, ensure your operative note clearly documents the procedure performed, clinical indication, and any complications or additional work that would support modifier usage. Always verify the code against the current AMA CPT Professional Edition before claim submission.
For multi-procedure cases, use our Case Builder to automatically calculate adjusted wRVUs with proper MPPR ranking.
Documentation and Coding Notes
AdSense readiness coding note: CPT 49657 should be treated as an educational starting point, not a final billing instruction. For lap repair recurrent ventral hernia; 3-10 cm, the operative note or procedure note should clearly support the approach, anatomic site, laterality when relevant, clinical indication, and any separately reportable services.
Before submitting a claim or logging the case, compare CPT 49657 with adjacent codes in the same family, confirm current AMA CPT language, check CMS/NCCI edits, and verify payer-specific bundling rules. Modifier use should be tied to documentation rather than added only to bypass an edit.
Common audit checks for hernia repair cases include whether the documented work matches the code descriptor, whether add-on services are separately supported, whether a global period applies, and whether ICD-10 diagnosis pairing supports medical necessity.
Related CPT Codes in Hernia Repair
CPT 49505 — Repair initial inguinal hernia, age 5 years or older; reduci CPT 49507 — Repair initial inguinal hernia, age 5 years or older; incarc CPT 49500 — Repair initial inguinal hernia, younger than age 5 years; re CPT 49650 — Laparoscopy, surgical; repair of inguinal hernia, initial CPT 49651 — Laparoscopy, surgical; repair of inguinal hernia, initial, b CPT 49520 — Repair recurrent inguinal hernia, any age; reducibleUse our free interactive decision tree with 500+ codes across 30 specialties
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