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
Temporary Codes for Use with Outpatient Prospective Payment System
C7565 is a valid 2026 HCPCS code for 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 or just “Rpr aa hrn < 3 rdc w/ rmvl” for short, used in Surgery.
| HCPCS Level II Code Temporary Codes for Use with Outpatient Prospective Payment System |
|
| HCPCS Code | C7565 |
|---|---|
| Description |
Long description:
Short description: |
| HCPCS Modifier1 | |
| HCPCS Pricing indicator |
99 - Value not established
|
| Multiple pricing indicator |
9 - Not applicable as HCPCS not priced separately by part B or value is not established
|
| Statute number | 1833(t) |
| Coverage code | D - Special coverage instructions apply |
| ASC payment group code | Effective Jan 01, 2025 - This procedure is approved to be performed in an ambulatory surgical center. |
| BETOS2 code | P1G - Major procedure - Other |
| HCPCS Action code | N - No maintenance for this code |
| Type of service | 2 - Surgery |
| Effective date | Effective Jan 01, 2025 |
| Date added | Added Jan 01, 2025 |
| HCPCS Coding Procedures | |
HCPCS Modifiers
In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.
Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
“NU” identifies the hospital bed as new equipment
See also
-
HCPCS C7564 · Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vessel(s)) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation
-
HCPCS C7566 · Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts)
1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).
2 BETOS stands for “Berenson-Eggers Type Of Service”
