Read the following operative report and assign the appropriate CPT

Read the following operative report and assign the appropriate CPT procedure code(s). Preoperative Diagnosis: Recurrent incarcerated umbilical and epigastric hernia Postoperative Diagnosis: Recurrent incarcerated umbilical and epigastric hernia Procedure: Robotic assisted repair of recurrent incarcerated umbilical and epigastric hernia with mesh, excision of old mesh Findings: Small and contracted old mesh at epigastric hernia site with incarcerated omentum, umbilical hernia Complications: None EBL: Minimal Specimens: Old mesh for gross inspection Preoperative History: This is a 58-year-old gentleman who has a recurrent umbilical hernia that is symptomatic and he would like it repaired. He has an incision that is vertical above the umbilicus and then curvilinear at the umbilicus. He had surgery about 30 years ago, and he said when it recurred that another surgery was performed and mesh was placed. He also has a rectus diastasis which I explained is not a hernia. Given the two surgeries and the usage of mesh and this being recurrent, I recommended a CT scan of the abdomen and pelvis to assess the abdominal wall. The umbilical hernia defect measures 2 cm. The epigastric hernia defect is located 3 cm above the umbilicus and measures 3 cm. Details of Procedure: The patient was taken to the OR and placed on the table. Anesthesia was induced, and the patient was intubated without complication. Intravenous antibiotics were given prior to the incision. A TAP block was performed by anesthesia. The abdomen was prepped and draped. I entered the abdomen in the right upper quadrant with an 8-mm port Visiport technique without complication, then established pneumoperitoneum. I then placed two more 8-mm ports in the right lateral abdomen under direct vision. Local anesthetic was used at the sites. I then docked the robot-placed instruments under direct vision. I then proceeded to the console. There were omental adhesions up the anterior abdominal wall around the midline. These were taken down. There was incarcerated omentum with the recurrent defect at the umbilicus as well as an epigastric defect above the umbilicus. This was reduced. There was old contracted mesh that was likely GoreTex which was excised from the abdominal wall and removed from the abdomen. I then cleared away the preperitoneal fat surrounding the defects. I then closed the defects in a running fashion with number-1 PDS strata fix symmetric suture. I then placed a 10-cm x 15-cm piece of ventral light ST mesh centered over the defects. I secured it circumferentially with 2-0 PDS strata fix suture in a running fashion. The mesh laid flat. We had good hemostasis. I then removed the needles, and needle counts were correct. I then removed the instruments and undocked the robot. I then removed the ports under direct vision. There is no bleeding from port sites. I closed skin incisions with 3-0 Vicryl in a subcuticular fashion. Dermabond was placed over the incisions. An abdominal binder was placed. The patient tolerated the procedure well. The patient was then awakened and extubated and taken to recovery in stable condition.

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