icd-10-cm code for umbilical and ventral hernia

Full Answer

What is the ICD 10 code for umbilical hernia?

ICD-10-CM Code K42. 9 - Umbilical hernia without obstruction or gangrene. What is an incarcerated umbilical hernia? Complications can occur when the protruding abdominal tissue becomes trapped (incarcerated) and can no longer be pushed back into the abdominal cavity.

What is the ICD 10 code for abdominal hernia without obstruction?

Ventral hernia without obstruction or gangrene. K43.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the ICD 10 for hernia with gangrene?

This is the American ICD-10-CM version of K42.9 - other international versions of ICD-10 K42.9 may differ. Hernia with both gangrene and obstruction is classified to hernia with gangrene.

What is the CPT code for hernia?

To code a diagnosis of this type, you must use one of the nine child codes of K43 that describes the diagnosis 'ventral hernia' in more detail. A hernia is the exit of an organ, such as the bowel, through the wall of the cavity in which it normally resides. Hernias come in a number of different types.

Is ventral hernia and umbilical hernia the same?

A ventral (abdominal) hernia refers to any protrusion of intestine or other tissue through a weakness or gap in the abdominal wall. Umbilical and incisional hernias are specific types of ventral hernias.

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

ICD-10 code K42. 9 for Umbilical hernia without obstruction or gangrene is a medical classification as listed by WHO under the range - Diseases of the digestive system .

What is the ICD 9 code for umbilical hernia?

553.1 Umbilical hernia - ICD-9-CM Vol. 1 Diagnostic Codes.

Is umbilical hernia CPT code?

CPT® Code 49585 in section: Repair umbilical hernia, age 5 years or older.

What is the CPT code for umbilical hernia repair?

Hernia repairCPT codeDescriptor2017 total RVU49582Repair umbilical hernia, younger than age 5 years; incarcerated or strangulated13.3449585Repair umbilical hernia, age 5 years or older; reducible12.8549587Repair umbilical hernia, age 5 years or older; incarcerated or strangulated13.7249590Repair spigelian hernia16.5539 more rows•Apr 1, 2017

What is umbilical hernia without obstruction or gangrene?

Umbilical hernias in children are usually painless. An umbilical hernia occurs when part of your intestine bulges through the opening in your abdominal muscles near your bellybutton (navel). Umbilical hernias are common and typically harmless.

What is the ICD-10 code for incarcerated ventral hernia?

Other and unspecified ventral hernia with obstruction, without gangrene. K43. 6 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 K43.

What is an abdominal hernia in adults?

A hernia of the abdominal wall is a protrusion of the abdominal contents through an acquired or congenital area of weakness or defect in the wall. Many hernias are asymptomatic, but some become incarcerated or strangulated, causing pain and requiring immediate surgery.

What is the ICD-10 code for Periumbilical pain?

ICD-10 code R10. 33 for Periumbilical pain is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .

Where is a ventral hernia located?

A ventral hernia occurs when a weak spot in the abdomen enables abdominal tissue or an organ (such as an intestine) to protrude through a cavity muscle area. These hernias are visibly identified by a bulge in the belly area.

What is the CPT code for open ventral hernia repair with mesh?

49652 Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); reducible.

What is the CPT code 49505?

CPT® Code 49505 in section: Repair initial inguinal hernia, age 5 years or older.

What is the ICD 10 code for right inguinal hernia?

ICD-10 Code for Inguinal hernia- K40- Codify by AAPC.

How is an Umbilical hernia repair?

During umbilical hernia repair, the surgeon makes a small cut of about 2 to 3cm at the base of the belly button and pushes the fatty lump or loop of bowel back into the tummy. The muscle layers at the weak spot in the abdominal wall where the hernia came through are stitched together to strengthen them.

What is the ICD 10 CM code for right flank pain?

If “flank pain” is all you have to work with from the documentation, then R10. 9 is the code to use.

What is the ICD code for a Ventral Hernia?

ICD Code K43 is a non-billable code. To code a diagnosis of this type, you must use one of the nine child codes of K43 that describes the diagnosis 'ventral hernia' in more detail. K43 Ventral hernia. NON-BILLABLE. BILLABLE.

Where do hernias come from?

Hernias come in a number of different types. Most commonly they involve the abdomen, specifically the groin.

What side of the body does a hernia occur on?

Groin hernias occur more often on the right than left side. The main concern is strangulation, where the blood supply to part of the bowel is blocked. This usually produces severe pain and tenderness of the area. Hiatus or hiatal hernias often result in heartburn but may also cause chest pain or pain with eating.

What is the ICD code for acute care?

K43. Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail. ICD Code K43 is a non-billable code.

Can a hernia be on the right side?

A bulging area may occur that becomes larger when bearing down. Groin hernias occur more often on the right than left side.

Is a groin hernia femoral?

Groin hernias are most common of the inguinal type but may also be femoral. Other hernias include hiatus, incisional, and umbilical hernias. For groin hernias symptoms are present in about 66% of people. This may include pain or discomfort especially with coughing, exercise, or going to the toilet.

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.

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.

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.

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.

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.

What is the term for a defect in the abdominal wall at the site of a previous operative incision?

An umbilical hernia occurs when contents protrude from the navel. Ventral/Incisional: A defect in the abdominal wall at the site of a previous operative incision. Diaphragmatic: A defect in the diaphragm (congenital or acquired) allows contents from the abdominal cavity to spill into the chest cavity.