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NOVEMBER 7, 2016

Hernia Prevention Code: Taking the Step From Category III to Category I

By John P. Fischer, MD, MPH, and Jason M. Weissler, MD

The American Medical Association (AMA) approved the submission of a new Current Procedural Terminology (CPT) code, 0437T, for prophylactic mesh placement (PMP) for hernia prevention at the 2016 CPT Editorial Panel Meeting, in Philadelphia. The code is a Category III CPT code, which is a temporary code permitting data collection for PMP and will serve to characterize use of this technique in practice.

This particular Category III code was