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The CPT, ICD-10, and modifiers for the given scenario would be as follows: CPT (Current Procedural Terminology): The CPT code for the repair of an incarcerated incisional hernia with a 4-cm fascial defect and placement of permanent mesh would be 49561. This code is used for the repair of an incarcerated or strangulated incisional hernia with a fascial defect size of 4 cm or more. ICD-10 (International Classification of Diseases, 10th Revision): The ICD-10 code for an incarcerated incisional hernia is K43.5. Modifiers: There are no specific modifiers mentioned in the scenario. However, if there were any unusual procedural services, the modifier -22 (Increased procedural services) could be used. If the procedure was performed by more than one surgeon, modifier -62 (Two surgeons) could be used. Please note that coding can vary based on the specific details of the procedure and the patient's insurance. Always check with the specific insurance company's guidelines and the most current version of the CPT and ICD-10 manuals.
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