49595 repair aa hrn first > 10 rdc
Also known as: ventral hernia repair, large abdominal hernia repair, primary hernia repair
Initial repair of abdominal wall hernia (primary) greater than 10 centimeters with simple closure.
In Plain Language
surgical repair of large abdominal hernia; closure of large abdominal muscle defect
Clinical Context
Surgical repair of primary ventral or abdominal wall hernia greater than 10 centimeters. Simple closure rare; usually requires mesh.
RVU Breakdown
| Work RVU | 13.59 |
| Total RVU | 13.59 |
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 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 13.59, this code ranks in the 69th percentile among Surgery codes — 1.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 49595?
CPT 49595 (repair aa hrn first > 10 rdc) is a Surgery code. Initial repair of abdominal wall hernia (primary) greater than 10 centimeters with simple closure.
What is the wRVU value for CPT 49595?
The work RVU for CPT 49595 is 13.59. This code is primarily used by General Surgery.
When is CPT 49595 used?
Surgical repair of primary ventral or abdominal wall hernia greater than 10 centimeters. Simple closure rare; usually requires mesh.
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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.