I am trying to code an umbilical hernia repair that was done for removal of prior mesh and implantation of new mesh with the hernia repair. The patient had a prior umbilical hernia repair several years ago and now needs the mesh removed due to protrusion from the umbilical skin. Would I code this as an incisional hernia repair with implantation of mesh? I have seen many different opinions of this and need some guidance. I am leaning towards the codes 49560 with 49568.

Thanks for any suggestions.

Valerie K.