39540 Repair of diaphragm hernia
Also known as: diaphragm hernia repair, simple hernia closure
Surgical repair of a diaphragmatic hernia with primary closure. This code represents repair of hernia defects, typically with direct suturing.
In Plain Language
repairing a hernia hole in the diaphragm
Clinical Context
Used for uncomplicated diaphragmatic hernias amenable to primary closure. Common approach for hernias diagnosed prenatally or in infancy.
RVU Breakdown
| Work RVU | 14.21 |
| Total RVU | 14.21 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 14.21, this code ranks in the 71st percentile among Surgery codes — 1.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 39540?
CPT 39540 (Repair of diaphragm hernia) is a Surgery code. Surgical repair of a diaphragmatic hernia with primary closure. This code represents repair of hernia defects, typically with direct suturing.
What is the wRVU value for CPT 39540?
The work RVU for CPT 39540 is 14.21. This code is primarily used by Pediatric Surgery, General Surgery, Thoracic Surgery. It has a 90-day global period.
When is CPT 39540 used?
Used for uncomplicated diaphragmatic hernias amenable to primary closure. Common approach for hernias diagnosed prenatally or in infancy.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.