2016 icd 10 code for sliding hiatal hernia

Full Answer

What is the CPT code for hiatal hernia repair?

Procedures CPT Codes Hiatal hernia repair (outpatient) 39502 (repair, paraesophageal hernia) 39503 (repair of diaphragm hernia) 39520 (repair, diaphragmatic hernia [esophageal hiatal]; transthoracic) 39530 (repair, diaphragmatic hernia [esophageal hiatal]; combined thoracoabdominal)

What is the ICD 10 code for congenital diaphragmatic hernia?

Congenital hiatal hernia; congenital diaphragmatic hernia (Q79.0); Congenital displacement of cardia through esophageal hiatus ICD-10-CM Diagnosis Code Q79.0 [convert to ICD-9-CM]

What are the different types of hiatal hernia?

These are also known as “sliding” hiatal hernias. All other hiatal hernia types involve a “paraesophageal” hernia — when abdominal contents other than just the GE junction move through the hiatus into the mediastinum. These paraesophageal hernias are classified into the following types:

What is the ICD 10 code for laparoscopic hernia repair?

Procedure ICD-10-CM (PR) Codes ICD-9-CM (PR) Codes Hiatal hernia repair (inpatient) - 0BQR (diaphragm , right) 53.7 (repair of diaphragmatic hernia, abdominal approach) 53.71 (laparoscopic repair of diaphragmatic hernia, abdominal approach) - 53.72 (other and open repair of diaphragmatic hernia, abdominal approach)

What is a sliding hiatal hernia?

In a sliding hiatal hernia, your stomach and the lower part of your esophagus slide up into your chest through the diaphragm. Most people with hiatal hernias have this type. A paraesophageal hernia is more dangerous.

What is K44 9 hiatal hernia?

ICD-10 code: K44. 9 Diaphragmatic hernia without obstruction or gangrene.

Is hiatal hernia and diaphragmatic hernia the same?

In a hiatal hernia (also called hiatus or diaphragmatic hernia), a portion of the stomach penetrates (herniates) through a weakness or tear in the hiatus of the diaphragm, the small opening that allows the esophagus to pass from the neck and chest to its connection with the stomach.

What is the CPT code for laparoscopic hiatal hernia repair?

CPT codes 43280 (laparoscopic), 43325, 43327, 43328 (open) are the correct codes to report for an esophagogastric fundoplasty. Per CPT and NCCI, the esophagogastric fundoplasty includes any associated type I hiatal hernia repair; which is not reported separately.

What is the ICD-10 code for hiatal hernia?

Q40. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Q40. 1 became effective on October 1, 2021.

How do you fix a sliding hiatal hernia?

Surgery to repair a hiatal hernia may involve pulling your stomach down into your abdomen and making the opening in your diaphragm smaller or reconstructing an esophageal sphincter. In some cases, hiatal hernia surgery is combined with weight-loss surgery, such as a sleeve gastrectomy.

What is the difference between a sliding and a paraesophageal hiatal hernia?

Mittal et al3 divided the hiatal hernia to 3 types, type 1 (sliding hiatal hernia) is when the esophagogastric junction (EGJ) and stomach is located above the diaphragmatic hiatus and the EGJ is located above the gastric fundus, type 2 (paraesophageal hiatal hernia) is when the EGJ is located at or below the level of ...

What is a 2 cm sliding hiatus hernia?

2. A sliding hiatal hernia is defined as a significant axial prolapse of a portion of the stomach through the diaphragmatic esophageal hiatus. Endoscopically, it is usually described as a more than 2-cm separation of the upward displaced esophagogastric junction and diaphragmatic impression.

What are the 4 types of hiatal hernia?

type 1: sliding hiatal hernia (~95%) type 2: paraesophageal hiatal hernia with the gastro-esophageal junction in a normal position. type 3: mixed or compound type, paraesophageal hiatal hernia with displaced gastro-esophageal junction. type 4: mixed or compound type hiatal hernia with additional herniation of viscera.

Can a hiatal hernia be repaired laparoscopically?

A Nissen fundoplication is a common surgery for a hiatal hernia. This procedure involves laparoscopic repair or keyhole surgery. This surgery is minimally invasive and only requires the surgeon to make a few tiny incisions in the abdomen.

What is the difference between CPT code 43280 and 43281?

CPT 43281 is separately payable when performed with a bariatric procedure, CPT 43280 is not. The difference between the two codes is that in 43281 the hernia sac is removed and then the area is repaired; in 43280 the hernia is only repaired via sutures.

What is procedure code 43235?

Esophagogastroduodenoscopy ProceduresCPT® Code 43235 - Esophagogastroduodenoscopy Procedures - Codify by AAPC.

What is a diaphragmatic hernia without obstruction or gangrene?

A diaphragmatic hernia is a birth defect in which there is an abnormal opening in the diaphragm. The diaphragm is the muscle between the chest and abdomen that helps you breathe. The opening allows part of the organs from the belly to move into the chest cavity near the lungs.

What is the correct code for stricture of the esophagus?

530.3 - Stricture and stenosis of esophagus | ICD-10-CM.

Where is a paraesophageal hernia located?

A paraesophageal hernia occurs when the lower part of the esophagus, the stomach, or other organs move up into the chest. The hiatus is an opening in the diaphragm (a muscle separating the chest from the abdomen) through which organs pass from the chest into the abdomen.

What is the ICD-10-CM code for morbid obesity due to excess calories?

ICD-10 code E66. 01 for Morbid (severe) obesity due to excess calories is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .

What are the codes for hernias?

Hernia codes (K40–K46) include acquired hernias, congenital hernias (except diaphragmatic or hiatus), and recurrent hernia.#N#Inguinal hernia K40-K40.91: This subcategory includes codes for direct inguinal, double inguinal, indirect, oblique inguinal, and scrotal hernias. To assign a code, you must know the location and laterality of the hernia, whether it’s with or without obstruction, whether it’s recurrent, and if there is gangrene present.#N#Femoral hernia K41.0-K41.91: This subcategory includes codes for paraumbilical hernias. To assign a code, you must know if the hernia is bilateral or unilateral, with or without obstruction, whether it’s recurrent, and if there is gangrene present.#N#Umbilical hernia K42-K42.9: To assign a code from this subcategory, you must know the hernia has an obstruction and/or gangrene present. An excludes 1 note with this category indicates that if an omphalocele (Q79.2 Exomphalos) is present, do not report these two codes together.#N#Ventral hernia K43.0-K43.9: To assign a code from this subcategory, know if the hernia is classified as an incisional hernia or a parastomal hernia, and if there is an obstruction and/or gangrene present.#N#Diaphragmatic hernia K44.0-K44.9: To assign a code from this subcategory, know if there is an obstruction and/or gangrene present. This code category includes hiatal hernia and esophageal or sliding hernia. There is an excludes 1 note that indicates not to report a congenital diaphragmatic hernia (Q79.0 Congenital diaphragmatic hernia) or a congenital hiatus hernia (Q40.1 Congenital hiatus hernia) at the same time as a code from this subcategory.#N#Other abdominal hernia K45-K45.8: This subcategory includes abdominal hernia, specified site, not elsewhere classified; lumbar hernia; obturator hernia; pudendal hernia; retroperitoneal hernia; and sciatic hernias. To assign a code, you must know if there is an obstruction and/or gangrene present.#N#Unspecified abdominal hernia K46-K46.9: Use a unspecified code only if documentation is imprecise and there is no way to query the reporting provider for more detail.

What is a hernia in medical terminology?

Hernia is a general term to describe a bulge or protrusion of an organ through the structure or muscle that usually contains it. Hernias can occur throughout the body (for instance, a herniated intervertebral disk), ...

What are the different types of hernias?

Common hernia types include:#N#Inguinal: In this common form of hernia (75 percent of all hernias are of the inguinal variety), the intestine bulges through a weak area in the inguinal canal in the groin area. Inguinal her nias may be either direct (congenital) or indirect (acquired).#N#Femoral: These hernias occur in the area between the abdomen and the thigh, usually appearing as a bulge on the upper thigh.#N#Umbilical: The fascia of the navel is thinner than in the rest of the abdomen. An umbilical hernia occurs when contents protrude from the navel.#N#Ventral/Incisional: A defect in the abdominal wall at the site of a previous operative incision.#N#Diaphragmatic: A defect in the diaphragm (congenital or acquired) allows contents from the abdominal cavity to spill into the chest cavity.#N#Each of the above categories may include specific subcategories (e.g., femoral hernias include paraumbilical hernias). Additional hernia types include lumbar hernia, obturator hernia, pudendal hernia, and others.#N#2. Laterality#N#The concept of laterality only applies to inguinal and femoral hernias. For these hernia types, provider documentation must specify whether the hernia is bilateral or unilateral.#N#3. Complicated By#N#Complications of hernia include possible obstruction (documentation stating incarcerated, irreducible, or strangulated implies this) and the presence of gangrene.#N#If the provider can manually push the contents of the hernia sac (e.g., the intestine, in the case of an inguinal hernia) back through the fascial defect, the hernia is reducible. In some cases, the contents of the hernia sac become trapped in the opening caused by the fascial defect. Such incarcerated or strangulated hernias cannot be reduced and pose potential life-threatening danger.#N#A note at the beginning of the Hernia section in ICD-10-CM instructs that if a hernia has both obstruction and gangrene to classify it as having gangrene.#N#4. Temporal Parameters#N#Temporal parameters include status of recurrent and not specified as recurrent (e.g., Is this the first hernia at this location?).

How is a femoral hernia repaired?

The femoral hernia was repaired by suturing the iliopubic tract to Cooper’s ligament. K41.90 Unilateral femoral hernia, without obstruction or gangrene, not specified as recurrent. The femoral canal is the path through which the femoral artery, vein, and nerve leave the abdominal cavity to enter the thigh.

Why do umbilical hernias appear later in life?

If small, this type of hernia may close by age 2. Even if the area is closed at birth, umbilical hernias can appear later in life because this spot may remain a weaker place in the abdominal wall.

How do you know if you have a hernia?

Common symptoms of hernia vary, depending on the type. For asymptomatic hernia, the patient may have swelling or fullness at the hernia site. Although there’s little pain or tenderness, the patient may have an aching sensation that radiates into the area of the hernia.

Where do inguinal hernias occur?

Femoral: These hernias occur in the area between the abdomen and the thigh, usually appearing as a bul ge on the upper thigh. Umbilical: The fascia of the navel is thinner than in the rest of the abdomen.

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Code Categories

• Hernia codes (K40–K46) include acquired hernias, congenital hernias (except diaphragmatic or hiatus), and recurrent hernia. Inguinal hernia K40-K40.91: This subcategory includes codes for direct inguinal, double inguinal, indirect, oblique inguinal, and scrotal hernias. To assign a code, you must know the location and laterality of the hernia, whet...

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