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CPT 49650: 2026 billing guide for laparoscopic inguinal hernia repair

CPT 49650 laparoscopic inguinal hernia repair billing 2026 hero banner: no age limit or reducibility requirement despite a 2009 CPT Assistant answer later corrected in 2014, initial versus recurrent status at the repair site deciding between 49650 and 49651 rather than approach or hernia condition, bilateral repair billed as a single 49650-50 line at 150 percent under CMS's bilateral indicator, mesh placement bundled into the code with no separate reporting, and the 2026 national surgeon rate of $424.19 against 49651's $550.11, from ClaimMax RCM.

CPT 49650 is the code for the laparoscopic repair of an initial inguinal hernia on one side. It includes mesh when the surgeon places it. In 2026, the surgeon’s national Medicare rate is $424.19, and the code carries a 90-day global period. Billing teams tend to trip on four calls with the 49650 CPT code. […]