Trocar Site Hernia (TSH) is defined as an incisional hernia which occurs after minimally invasive surgery on the trocar incision site.You should use the appropriate incisional hernia repair code (49654-49655, Laparoscopy,surgical, repair, incisional hernia [includes mesh insertion, when performed] ... ; or 49656-49657,Laparoscopy, surgical, repair, recurrent incisional hernia [includes mesh insertion, when performed] ...).
Here's why: The incisional hernia repair codes include the reimbursement and work associated with an incisional defect with expected adhesions, scarring, and other extra work associated with a procedure related toa previous surgical site.