Please see below scrubbed highlights from my operative note.
Does the aborted procedure bundle into the completed procedure? I would usually think so but both hernia procedures have distinctly separate CPT codes as well as DX codes.
Any thoughts are appreciated…thanks in advance.

POSTOPERATIVE DIAGNOSES:
1. Left inguinal hernia.
2. Recurrent right inguinal hernia.

PROCEDURE:
1. Laparoscopic left inguinal hernia repair.
2. Attempted right inguinal hernia repair.

LEFT – Sequenced as primary procedure
49560-LT
C1781 [mesh]
K40.90 New Inguinal hernia
D17.6 Cord Lipoma
— was dissected laterally
— dissected out a large cord lipoma [no pathology]
— cleared off the internal ring on the left side.
— placing a left-sided laparoscopic ProGrip mesh

RIGHT -Sequenced as secondary procedure due to reduction of services [NCCI edits]
49651-53-51-RT
K40.91 Recurrent Inguinal Hernia
K91.61 Intraoperative Hemorrhage during digestive procedure
K66.0 Adhesions
Z53.8 Procedure not carried out

— placed our balloon dissector
— the right side was not dissected very well
— peritoneum was densely adherent to the abdominal wall
— there was some bleeding from numerous small vessels
— tried to take down the connective tissue from the right inferior epigastric.
–did incur some bleeding… had to be controlled by ligating the inferior epigastric vein between clips.
–then could not visualize the hernia defect at this point
— Right inguinal hernia repair was aborted