C&P Hernias

Asymptomatic hernia; present and repairable, or repaired

Irreparable hernia (new or recurrent) present for 12 months or more; with hernia size smaller than 3 cm

Irreparable hernia (new or recurrent) present for 12 months or more; with both of the following present for 12 months or more: 1. Size equal to 3 cm or greater but less than 15 cm in one dimension; and 2. Pain when performing one of the following activities: (1) bending over, (2) activities of daily living (ADLs), (3) walking, and (4) climbing stairs

Irreparable hernia (new or recurrent) present for 12 months or more; with both of the following present for 12 months or more: 1. Size equal to 3 cm or greater but less than 15 cm in one dimension; and 2. Pain when performing at least two of the following activities: (1) bending over, (2) activities of daily living (ADLs), (3) walking, and (4) climbing stairs

Irreparable hernia (new or recurrent) present for 12 months or more; with both of the following present for 12 months or more: 1. Size equal to 15 cm or greater in one dimension; and 2. Pain when performing two of the following activities: (1) bending over, (2) activities of daily living (ADLs), (3) walking, and (4) climbing stairs

Irreparable hernia (new or recurrent) present for 12 months or more; with both of the following present for 12 months or more: 1. Size equal to 15 cm or greater in one dimension; and 2. Pain when performing at least three of the following activities: (1) bending over, (2) activities of daily living (ADLs), (3) walking, and (4) climbing stairs

Documented history without daily symptoms or requirement for daily medications

Documented history of esophageal strictures that requires dialy medications to control dysphagia otherwise asymptomatic.

Documented history of recurrent esophageal strictures causing dysphagia which requires dilation no more than two times per year.

Documented history of recurrent or refractory esophageal strictures causing dysphagia which requires at least one of the following: dilation three or more times per year, dilation using steroids at least one time per year, or esophageal stent placement.

Documented history or recurrent or refractory esophageal strictures causing dysphagia with at least one of the following symptoms present: aspiration, undernutrition, or substantial weight loss and treatment with either surgical correction of esophageal strictures or percutanious esophago-gastrointestinal tube.