I am in a quandary…any insight will be appreciated.
The provider clearly documents no hernia, no defect, no areas of weakness…but then places mesh anyway?
How can I capture the mesh insertion without hernia repair…am leaning toward 154xx from integumentary system codes but not sure???

POST-OP DX: Right Cord Lipoma
PX: Open Right Inguinal Hernia Repair with Mesh

*inspected the floor of the inguinal canal and identified no defects or areas of weakness
*no hernia sac was identified and the internal ring was well intact
*prior mesh repair of the laparoscopic hernia repair – intact
*identified a cord lipoma distally, and resected that from the spermatic cord.
** then placed a piece of ProGrip mesh and secured to the pubic tubercle

Post Op Note:
informed him that his prior repair was intact and that his bulge was likely from a cord lipoma

Thanks in advance…