49613 repair aa hrn rcr < 3 rdc
Also known as: recurrent ventral hernia repair, recurrent abdominal hernia, hernia rerepair
Repair of recurrent abdominal wall hernia less than 3 centimeters with simple closure.
In Plain Language
surgical repair of abdominal hernia that came back; closure of recurrent muscle defect
Clinical Context
Surgical repair of recurrent ventral or abdominal wall hernia less than 3 centimeters. Often requires mesh despite small size.
RVU Breakdown
| Work RVU | 7.23 |
| Total RVU | 7.23 |
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 7.23, this code ranks in the 46th percentile among Surgery codes — 1.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 49613?
CPT 49613 (repair aa hrn rcr < 3 rdc) is a Surgery code. Repair of recurrent abdominal wall hernia less than 3 centimeters with simple closure.
What is the wRVU value for CPT 49613?
The work RVU for CPT 49613 is 7.23. This code is primarily used by General Surgery.
When is CPT 49613 used?
Surgical repair of recurrent ventral or abdominal wall hernia less than 3 centimeters. Often requires mesh despite small size.
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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.