Unspecified abdominal hernia without obstruction or gangrene 2016 2017 2018 2019 2020 2021 Billable/Specific Code K46.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM K46.9 became effective on October 1, 2020.
ICD-10-CM Code for Encounter for surgical aftercare following surgery on specified body systems Z48. 81.
81: Encounter for surgical aftercare following surgery on specified body systems.
ICD-10 code K43. 2 for Incisional hernia without obstruction or gangrene is a medical classification as listed by WHO under the range - Diseases of the digestive system .
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
Use Z codes to code for surgical aftercare. Z codes also apply to post-op care when the condition that precipitated the surgery no longer exists—but the patient still requires therapeutic care to return to a healthy level of function. In situations like these, ICD-10 provides a few coding options, including: Z47.
Follow-up. The difference between aftercare and follow-up is the type of care the physician renders. Aftercare implies the physician is providing related treatment for the patient after a surgery or procedure. Follow-up, on the other hand, is surveillance of the patient to make sure all is going well.
The procedure involves the placement of a mesh inside the abdomen without abdominal wall reconstruction. The mesh is fixed with sutures, staples, or tacks. The recurrence rate of laparoscopic repair is reported as equal to or less than that of open repair.
Incisional hernia without obstruction or gangrene K43. 2 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. 2 became effective on October 1, 2021.
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.
There is a separate, specific code — 49525 Repair inguinal hernia, sliding, any age — for the repair of a reducible, sliding inguinal hernia. If the hernia is incarcerated or strangulated, however, 49525 does not apply. Instead, you would revert to 49496, 49501, 49507, or 49521, as appropriate.
By contrast, an “internal” hernia is a herniation into the abdominal cavity. To report a laparoscopic “internal” hernia repair procedure, code 44238, Unlisted laparoscopy procedure, intestine (except rectum), should be reported.
In general, hernia surgeries are classified as herniorrhaphy or hernioplasty. Hernia repairs are day surgeries, so people go home a few hours afterward. Hernia surgeries are considered fairly safe and effective.
When the reason for an encounter is aftercare following a procedure or injury, the 2012 ICD-10-CM Official Guidelines and Reporting should be consulted to ensure that the correct code is assigned. Codes for reporting most types of aftercare are found in Chapter 21. However, aftercare related to injuries is reported with codes from Chapter 19, using seventh-character extensions to identify the service as aftercare.
Codes for encounters for antineoplastic radiation, chemotherapy and immunotherapy (Z51.0, Z51.1-) are assigned if the sole reason for the encounter is antineoplastic therapy – even if the patient still has the neoplastic disease.
Aftercare visit codes cover situations occurring when the initial treatment of a disease has been performed and the patient requires continued care during the healing or recovery phase, or care for the long-term consequences of the disease.
The codes for factors influencing health and contact with health services represent reasons for encounters. In ICD-10-CM, these codes are located in Chapter 21 and have the initial alpha character of “Z,” so codes in this chapter eventually may be referred to as “Z-codes” (just as the same supplementary codes in ICD-9-CM were referred to as “V-codes”). While code descriptions in Chapter 21, such as aftercare, may appear to denote descriptions of services or procedures, they are not procedure codes. These codes represent the reason for the encounter, service or visit, and the procedure must be reported with the appropriate procedure code.
If the line between acceptable and unacceptable uses of aftercare codes still seems a bit fuzzy, just remember that in most cases, you should only use aftercare codes if there’s no other way for you to express that a patient is on the “after” side of an aforementioned “before-and-after” event.
In many cases, yes; a patient who undergoes surgery mid-plan of care should receive a re-evaluation. However, per the above-linked article, "some commercial payers may consider the post-op treatment period a new episode of care, in which case you’d need to use an evaluation code.".
Essentially, you are indicating that the patient is receiving aftercare for the injury. Thus, you should not use aftercare codes in conjunction with injury codes, because doing so would be redundant. 3. You can use Z codes to code for surgical aftercare.
In situations where it’s appropriate to use Z codes, “aftercare codes are generally the first listed diagnosis,” Gray writes. However, that doesn’t mean the Z code should be the only diagnosis code listed for that patient.
Even so, therapists should only use ICD-10 aftercare codes to express patient diagnoses in a very select set of circumstances.