CPT code 49651 represents laparoscopic repair of a recurrent inguinal hernia and denotes a minimally invasive surgical approach for a groin hernia that has previously been repaired. Nationally, this code is important for tracking utilization of repeat hernia interventions, assessing surgical outcomes for recurrent disease, and aligning payment policy for minimally invasive versus open techniques. Payers commonly involved in coverage decisions and reimbursement for this service include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.

This publication provides a concise review of CPT code 49651, offering clinical context, typical sites of service, and the payer landscape. Readers will find benchmarks and utilization patterns where available, summaries of relevant policy considerations influencing prior authorization and coverage determinations, and notes on common billing considerations. The content is intended for revenue cycle leaders, surgical departments, and policy analysts seeking a national overview of how recurrent laparoscopic inguinal hernia repairs are coded and processed. Data not available in the input will be noted where applicable.