49505 Prp i/hern initial reduc >5 yr
Also known as: inguinal hernia repair adult, hernia repair older child, groin hernia repair, inguinal hernia repair initial, open inguinal hernia repair, inguinal hernia repair
Repair of inguinal hernia in patient age greater than five years with primary closure.
In Plain Language
surgical repair of groin hernia in older child or adult; closure of intestinal protrusion
Clinical Context
Surgical repair of inguinal hernia in patients over five years old. Standard treatment for symptomatic hernias or prevention of incarceration.
RVU Breakdown
| Work RVU | 7.76 |
| Total RVU | 7.76 |
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 7.76, this code ranks in the 49th percentile among Surgery codes — 1.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 49505?
CPT 49505 (Prp i/hern initial reduc >5 yr) is a Surgery code. Repair of inguinal hernia in patient age greater than five years with primary closure.
What is the wRVU value for CPT 49505?
The work RVU for CPT 49505 is 7.76. This code is primarily used by General Surgery, Pediatric Surgery. It has a 90-day global period.
When is CPT 49505 used?
Surgical repair of inguinal hernia in patients over five years old. Standard treatment for symptomatic hernias or prevention of incarceration.
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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.