49594 Insurance Policy Changes

CPT 49594, in plain terms, covers Surgical repair of an abdominal wall hernia when the defect measures between three and ten centimeters. CPT 49594 is referenced in 2 tracked payer policy changes from Aetna. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 49594 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 49594 on AAPC