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49605 Repair umbilical lesion

Surgery Global 90d

Also known as: umbilical hernia repair with mesh, large belly button hernia repair, umbilical hernia reconstruction

Repair of large umbilical hernia with mesh or fascia reinforcement.

In Plain Language

surgical repair of large belly button hernia with patch; reinforced closure of navel defect

Clinical Context

Surgical repair of large umbilical hernia requiring mesh or fascia graft for reinforcement. Used for wide defects or adult umbilical hernias.

RVU Breakdown

Work RVU84.91
Total RVU84.91

Est. Medicare Payment

$2,835.99

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 84.91, this code ranks in the 100th percentile among Surgery codes — 10.6x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

General Surgery

Frequently Asked Questions

What is CPT code 49605?

CPT 49605 (Repair umbilical lesion) is a Surgery code. Repair of large umbilical hernia with mesh or fascia reinforcement.

What is the wRVU value for CPT 49605?

The work RVU for CPT 49605 is 84.91. This code is primarily used by General Surgery. It has a 90-day global period.

When is CPT 49605 used?

Surgical repair of large umbilical hernia requiring mesh or fascia graft for reinforcement. Used for wide defects or adult umbilical hernias.

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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.