icd 10 code for abdominal incisional hernia

What is the ICD-10 code for recurrent incisional hernia?

ICD-10-CM Code for Incisional hernia without obstruction or gangrene K43. 2.

What is an incisional hernia?

An incisional hernia is a protrusion of tissue that forms at the site of a healing surgical scar. This type of hernia accounts for 15-20 percent of all abdominal hernias.

What is the code for abdominal hernia?

ICD-10 code K46. 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 .

What is the CPT code for ventral incisional hernia repair?

Hernia repairCPT codeDescriptor49560Repair initial incisional or ventral hernia; reducible49561Repair initial incisional or ventral hernia; incarcerated or strangulated49565Repair recurrent incisional or ventral hernia; reducible49566Repair recurrent incisional or ventral hernia; incarcerated or strangulated39 more rows•Apr 1, 2017

What does incisional mean?

Medical Definition of incisional : of, relating to, or resulting from an incision an incisional hernia.

What is an incisional?

An incisional, or ventral, hernia can develop after abdominal surgery. It occurs when part of an internal organ or abdominal tissue protrudes through the abdominal wall. Most incisional hernias will not cause serious problems.

What is the ICD-10 diagnosis code for hernia?

2022 ICD-10-CM Diagnosis Code K46. 9: Unspecified abdominal hernia without obstruction or gangrene.

What is the ICD-10 for abdominal pain?

ICD-10 | Unspecified abdominal pain (R10. 9)

What is an abdominal hernia in adults?

A: Your abdomen is covered in layers of muscle and strong tissue that help you move and protect internal organs. A hernia is a gap in this muscular wall that allows the contents inside the abdomen to protrude outward. There are different types of hernias, but the most common hernias occur in the belly or groin areas.

Can you bill for two incisional hernia repairs?

If two separate and distinct hernias were repaired (such as parastomal and ventral), then it is appropriate to also report code 9560 with a multiple procedure modifier –51. If mesh was used for the ventral hernia repair, use 9568 as an add-on code.

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

For insertion of mesh or other prosthesis for open incisional or ventral hernia repair, add-on code +49568 should be reported in conjunction with 49560-49566.

How do you code hernia repair?

The following CPT codes are used to report hernia repair:49505 – Repair initial inguinal hernia > 5 yrs. ... 49560 – Repair initial incisional or ventral hernia; reducible.49561 – Repair initial incisional or ventral hernia; incarcerated or strangulated.49585 – Repair umbilical hernia, age 5 or older; reducible.More items...•Mar 1, 2017

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 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?).

What is a bulge in the abdominal wall called?

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), but most commonly occur into or through a weakness 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 femoral hernias occur?

Femoral: These hernias occur in the area between the abdomen and the thigh, usually appearing as a bulge on the upper thigh. 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.

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.

Is a femoral hernia irreducible?

Femoral hernias are particularly at risk of becoming irreducible and strangulated. Example 2: A 42-year-old female patient presents with a gangrenous Meckel’s diverticulum in a strangulated umbilical hernia sac, and is treated by dissection of diverticulomesenteric bands and diverticulectomy.