2025 HCPCS Code C7565

Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s) less than 3 cm, reducible with removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair

TAGS: length abdominal parastomal initial removal anterior total implantation repair prosthesis recurrent hernia approach reducible

Short Description	Rpr aa hrn < 3 rdc w/ rmvl
HCPCS Action Code	N - No maintenance for this code
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Code Added Date	January 01, 2025
HCPCS Action Effective Date	January 01, 2025
HCPCS Pricing Indicator Code	99 - Value not established
HCPCS Type Of Service Code	2 - Surgery
HCPCS Multiple Pricing Indicator Code	9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Coverage Issues Manual Reference Section Number