icd-10-cm code for sliding hiatal hernia

by Mariane Pfannerstill 7 min read

Congenital hiatus 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.

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How to test for and fix a hiatal hernia?

What Is a Hiatal Hernia?

  • Drink a glass of room temperature or slightly warm water when you get out of bed in the morning. ...
  • While standing, bring your arms straight out from your sides and bend your elbows so your hands are touching your chest.
  • Stand up on your toes as high as possible and drop down. ...

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Can a hiatal hernia be healed naturally?

The only solution is to get your stomach out of the hole. Here’s how to fix a hiatal hernia naturally without surgery, with a quick morning exercise. (See video below.) Drink a glass of room temperature or slightly warm water when you get out of bed in the morning. (Skip the coffee, tea, juice, and cold water—just drink warm water.)

Is Gerd and hiatal hernia the same thing?

Frequent acid reflux is called gastroesophageal reflux disease, or GERD. When muscle tissue surrounding the esophageal sphincter weakens, it can cause the upper part of your stomach to bulge up through the diaphragm into your chest cavity. This is called hiatal hernia. Jan. 21, 2020. Show references.

How can a hiatal hernia be diagnosed?

A hiatal hernia can be diagnosed with a specialized X-ray study that allows visualization of the esophagus and stomach (barium swallow) or with endoscopy (a test that allows the doctor to view the hernia directly).

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What is the ICD-10-CM code for paraesophageal hernia?

ICD-10-CM Diagnosis Code K40 K40.

What is K44 9 hiatal hernia?

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

What is the diagnosis code for diaphragmatic hernia?

ICD-10 code K44. 9 for Diaphragmatic hernia without obstruction or gangrene is a medical classification as listed by WHO under the range - Diseases of the digestive system .

What is a Type 4 hiatal hernia?

Type IV hiatal hernias are characterized by herniation of the stomach along with associated viscera such as the spleen, colon, small bowel, and pancreas through the esophageal hiatus. They are relatively rare, representing only about 5%–7% of all hernias, and can be associated with severe complications.

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

In a hiatal hernia, the stomach bulges up into the chest through that opening. There are two main types of hiatal hernias: sliding and paraesophageal (next to the esophagus). In a sliding hiatal hernia, the stomach and the section of the esophagus that joins the stomach slide up into the chest through the hiatus.

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 ICD-10 code for abdominal hernia?

9 for Unspecified abdominal hernia without obstruction or gangrene is a medical classification as listed by WHO under the range - Diseases of the digestive system .

Where is a hiatal hernia located?

A hiatal hernia occurs when part of the stomach protrudes up into the chest through the sheet of muscle called the diaphragm. This may result from a weakening of the surrounding tissues and may be aggravated by obesity and/or smoking. The esophagus runs through the diaphragm to the stomach.

What is a Type 2 hiatal hernia?

Type II hiatal hernias occur when the fundus of the stomach herniates through the esophageal hiatus. The GEJ remains normally positioned below the diaphragm.

Can a sliding hiatal hernia become a paraesophageal hernia?

In older patients, the type 1 sliding hiatal hernia becomes larger over time and may eventually develop into a type 3 paraesophageal hernia. A type 3 paraesophageal hernia is uncommon in young patients.

How do you manage a sliding hiatal hernia?

Try to:Eat several smaller meals throughout the day rather than a few large meals.Avoid foods that trigger heartburn, such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.Avoid lying down after a meal or eating late in the day.Maintain a healthy weight.Stop smoking.More items...•

Where is a hiatal hernia located?

A hiatal hernia occurs when part of the stomach protrudes up into the chest through the sheet of muscle called the diaphragm. This may result from a weakening of the surrounding tissues and may be aggravated by obesity and/or smoking. The esophagus runs through the diaphragm to the stomach.

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 a diaphragmatic hernia in adults?

A diaphragmatic hernia occurs when one or more of your abdominal organs move upward into your chest through a defect (opening) in the diaphragm. This kind of defect can be present at birth or acquired later in life. It's always a medical emergency and requires prompt surgery to correct.

What is the CPT code for hiatal hernia repair?

CPT43337Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis43338Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) [when performed with open repair of paraesophageal hernia]32 more rows

What is a hernia with both gangrene and obstruction?

Hernia with both gangrene and obstruction is classified to hernia with gangrene. A congenital or acquired weakness or opening in the diaphragm which allows abdominal contents to protrude into the chest cavity; congenital diaphragmatic hernias are caused when the embryonic diaphragm fails to fuse.

What is a hernia in the chest called?

Hiatal hernia. Paraesophageal hernia. Clinical Information. A congenital or acquired weakness or opening in the diaphragm which allows abdominal contents to protrude into the chest cavity; congenital diaphragmatic hernias are caused when the embryonic diaphragm fails to fuse.

What is the code for a hernia in the thorax?

The most common kind of hiatal hernia in which the esophagogastric junction slides above the diaphragm into the thorax. Codes. K44 Diaphragmatic hernia. K44.0 Diaphragmatic hernia with obstruction, without gangrene.

What is hiatus hernia?

hiatus hernia (esophageal) (sliding) paraesophageal hernia. Clinical Information. A congenital or acquired weakness or opening in the diaphragm which allows abdominal contents to protrude into the chest cavity; congenital diaphragmatic hernias are caused when the embryonic diaphragm fails to fuse.

What is a hernia in the abdominal wall?

By Rhonda Buckholtz#N#Hernias occur when the contents of a body cavity bulge out of the area where they are normally contained. These contents, usually portions of intestine or abdominal fatty tissue, are enclosed in the thin membrane that naturally lines the inside of the cavity. Hernias may not produce symptoms, or they may cause slight to severe pain. Nearly all have the potential of becoming strangulated.#N#Strangulation occurs when the contents of the hernia bulge out and apply enough pressure that blood vessels in the hernia are constricted, cutting off blood supply. If the blood supply is cut off at the hernia opening in the abdominal wall, it becomes a medical and surgical emergency.#N#Identify Hernia Type#N#There are several different types of hernias. The ability to identify the various types of hernias is critical to appropriate diagnosis coding in ICD-10-CM.#N#Inguinal#N#Inguinal (groin) hernias make up approximately 75 percent of all abdominal wall hernias, and occur up to 25 times more often in men than in women. There are two different types of inguinal hernias: direct and indirect.#N#Both types occur in the groin area where the skin of the thigh joins the torso (the inguinal crease), but they have slightly different origins.

What is a hernia in the womb?

A diaphragmatic hernia is a rare birth defect in which there is an abnormal opening in the diaphragm. This type of hernia occurs while the baby is developing in the womb, and prevents the lungs from growing normally. ICD-10-CM coding example: A 17-year-old female presents with congenital diaphragmatic hernia.

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. Umbilical. Umbilical hernias are common and make up approximately 10 to 30 percent of hernia cases.

What is a femoral hernia?

Femoral hernias are normally confined to a tight space, and sometimes they become large enough to allow abdominal contents (usually intestine) to protrude into the canal. They cause a bulge just below the inguinal crease in roughly the mid-thigh area, and usually occur in women. ICD-10-CM coding example:

Where do inguinal hernias occur?

There are two different types of inguinal hernias: direct and indirect. Both types occur in the groin area where the skin of the thigh joins the torso (the inguinal crease), but they have slightly different origins. Indirect inguinal hernia (indirect hernia):

Where does hernia protrude from?

This type of hernia protrudes from the pelvic cavity through an opening in the pelvic bone. Due to the lack of visible bulging, this hernia is very difficult to diagnose. Epigastric. Epigastric hernia occurs between the navel and the lower part of the rib cage in the midline of the abdomen.

Can a hernia cause pain?

Hernias may not produce symptoms, or they may cause slight to severe pain. Nearly all have the potential of becoming strangulated. Strangulation occurs when the contents of the hernia bulge out and apply enough pressure that blood vessels in the hernia are constricted, cutting off blood supply.

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