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49496 repair ing hernia baby blocked

Surgery Global 90d

Also known as: emergency infant hernia repair, incarcerated hernia infant, strangulated hernia baby

Repair of inguinal hernia in infant under age one year with hernia incarcerated or strangulated.

In Plain Language

emergency surgical repair of trapped groin hernia in baby; treatment of strangulated infant hernia

Clinical Context

Urgent surgical repair of incarcerated or strangulated inguinal hernia in infant under one year old. Requires immediate intervention to prevent bowel necrosis.

RVU Breakdown

Work RVU9.18
Total RVU9.18

Est. Medicare Payment

$306.61

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 9.18, this code ranks in the 55th percentile among Surgery codes — 1.1x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Pediatric SurgeryGeneral SurgeryEmergency Medicine

Frequently Asked Questions

What is CPT code 49496?

CPT 49496 (repair ing hernia baby blocked) is a Surgery code. Repair of inguinal hernia in infant under age one year with hernia incarcerated or strangulated.

What is the wRVU value for CPT 49496?

The work RVU for CPT 49496 is 9.18. This code is primarily used by Pediatric Surgery, General Surgery, Emergency Medicine. It has a 90-day global period.

When is CPT 49496 used?

Urgent surgical repair of incarcerated or strangulated inguinal hernia in infant under one year old. Requires immediate intervention to prevent bowel necrosis.

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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.