A pragmatic, evidence-based approach to coding for abdominal wall reconstruction.

ABSTRACT:

Purpose

Ambiguity exists defining abdominal wall reconstruction (AWR) and associated Current Procedural Terminology code usage in the context of ventral hernia repair (VHR), especially with recent adoption of laparoscopic and robotic-assisted AWR techniques. Current guidelines have not accounted for the spectrum of repair complexity and have relied on expert opinion. This study aimed to develop an evidence-based definition and coding algorithm for AWR based on myofascial releases performed.

Methods

Three vignettes and associated outcomes were evaluated in adult patients who underwent elecive VHR with mesh between 2013 and 2020 in the Abdominal Core Health Quality Collaborative including: (1) no myofascial release (NR), (2) posterior rectus sheath myofascial release (PRS), an

SUBMITTER: Abdominal Core Health Quality Collaborative 

PROVIDER: S-EPMC9012717 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature