49618 repair aa hrn rcr > 10 ncr/strn
Also known as: recurrent ventral hernia with mesh, large hernia rerepair mesh, hernia reinforcement
Repair of recurrent abdominal wall hernia greater than 10 centimeters with mesh or tissue reinforcement.
In Plain Language
surgical repair of large abdominal hernia that came back with patch; reinforced closure of large recurrent defect
Clinical Context
Surgical repair of recurrent ventral or abdominal wall hernia greater than 10 centimeters with mesh or tissue reinforcement. Standard approach for large recurrent hernias.
RVU Breakdown
| Work RVU | 22.10 |
| Total RVU | 22.10 |
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 22.10, this code ranks in the 85th percentile among Surgery codes — 2.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 49618?
CPT 49618 (repair aa hrn rcr > 10 ncr/strn) is a Surgery code. Repair of recurrent abdominal wall hernia greater than 10 centimeters with mesh or tissue reinforcement.
What is the wRVU value for CPT 49618?
The work RVU for CPT 49618 is 22.10. This code is primarily used by General Surgery.
When is CPT 49618 used?
Surgical repair of recurrent ventral or abdominal wall hernia greater than 10 centimeters with mesh or tissue reinforcement. Standard approach for large recurrent 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.