icd 10 code for anterior abdominal wall hernia

Full Answer

Are abdominal hernias ever inoperable?

Once a hole (hernia) develops in the abdominal wall, there usually will be no improvement without surgical intervention, because it cannot repair itself. Typically, the abdominal wall fascia doesn’t regrow to repair/ close the hole. However non-surgical approaches can help, too.

Are the intestines proximal to the abdominal wall?

proximal segment of the small intestine: C-shaped; the duodenum has 4 parts: 1st or superior, 2nd or descending, 3rd or transverse, 4th or ascending: haustra: multiple pouches in the wall of the large intestine: haustra form where the longitudinal muscle layer of the wall of the large intestine is deficient; also known as: sacculations

What is the diagnosis code for abdominal hernia?

Unspecified abdominal hernia without obstruction or gangrene

• Tabular List of Diseases and Injuries. The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes ...
• Index to Diseases and Injuries. ...
• Approximate Synonyms
• Convert K46.9 to ICD-9 Code

What are the types of abdominal hernia?

What to Know About 6 Hernia Types

• Epigastric hernia. An epigastric hernia is one that occurs in the epigastric region of the abdomen, which is located above the belly button and below the ribcage.
• Femoral hernia. ...
• Incisional hernia. ...
• Inguinal hernia. ...
• Umbilical hernia. ...
• Treatment for hernias. ...
• Hernia prevention. ...

What is an anterior abdominal wall hernia?

Anterior abdominal wall hernias, also known as ventral hernias, are a leading cause of abdominal surgery in the United States (,1). These hernias involve the protrusion of part of the peritoneal sac through a defect in the muscle layers of the anterior abdominal wall.

What is an abdominal wall hernia called?

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 are the two types of abdominal wall hernias?

Types of Abdominal Wall HerniasEpigastric Hernia. An epigastric hernia occurs when a weakened area in the abdominal wall allows a bit of fat to push through. ... Incisional Hernia. A hernia that occurs in the area of a previous surgery is known as an incisional hernia. ... Spigelian Hernia. ... Umbilical Hernia.

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

In ICD-10-CM, epigastric hernias are coded to K43. 6, K43.

What are the layers of the anterior abdominal wall?

There are nine layers to the abdominal wall: skin, subcutaneous tissue, superficial fascia, external oblique muscle, internal oblique muscle, transversus abdominis muscle, transversalis fascia, preperitoneal adipose and areolar tissue, and peritoneum.

What is the ICD 10 code for hernia?

ICD-10-CM Code for Unspecified abdominal hernia without obstruction or gangrene K46. 9.

Is an inguinal hernia an abdominal wall hernia?

Inguinal hernia is the most common type of hernia. It takes place when abdominal tissue, such as belly fat or a loop of intestines, bulges through an opening in your lower abdominal wall. This is the wall that separates your abdomen from your groin.

How can you tell the difference between a direct and indirect hernia?

The difference is in the anatomical location. Direct hernias protrude through the posterior (back) wall of the inguinal canal. Indirect hernias protrude through the inguinal ring....They include:A bulge in the groin area.A bulge in the scrotum.Pain or burning in or around the groin.

What is the abdominal wall?

The abdominal wall surrounds the abdominal cavity, providing it with flexible coverage and protecting the internal organs from damage. It is bounded superiorly by the xiphoid process and costal margins, posteriorly by the vertebral column and inferiorly by the pelvic bones and inguinal ligament.

What is the ICD-10 code for abdominal wall hernia?

Unspecified abdominal hernia without obstruction or gangrene K46. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is a epigastric hernia?

Umbilical or epigastric hernias occur when a part of the intestine pushes through an opening in the abdominal, or stomach, muscles. Umbilical hernias develop at the belly button.

What is ventral hernia?

About Ventral Hernias 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.

How serious is an abdominal wall hernia?

Treatment of Abdominal Wall Hernias Most go away without treatment within several years. Very large umbilical hernias may be repaired after the infant is 2 years old. Umbilical hernias in adults cause cosmetic concerns and can be repaired at a time that is convenient for the person (called elective surgery).

What are the 3 types of hernias?

A hernia happens when an internal organ pushes through a weak spot in your muscle or tissue. There are several types of hernia that you can experience including, inguinal hernias, femoral hernias, umbilical hernias and hiatal hernias.

What causes an abdominal wall hernia?

A hernia occurs when an organ pushes through an opening in the muscle or tissue that holds it in place. For example, the intestines may break through a weakened area in the abdominal wall. Many hernias occur in the abdomen between your chest and hips, but they can also appear in the upper thigh and groin areas.

What are the 6 types of hernias?

TypesEpigastric hernia. An epigastric hernia occurs in the epigastric region of the abdomen, which is located above the belly button and below the rib cage. ... Femoral hernia. ... Hiatal hernia. ... Incisional hernia. ... Inguinal hernia. ... Umbilical hernia.

When is the ICd 10 code for abdominal hernia effective?

The 2021 edition of ICD-10-CM K46 became effective on October 1, 2020.

What is abdominal hernia?

A protrusion of abdominal structures through the retaining abdominal wall. It involves two parts: an opening in the abdominal wall, and a hernia sac consisting of peritoneum and abdominal contents. Abdominal hernias include groin hernia (hernia, femoral; hernia, inguinal) and ventral hernia. An intestinal hernia.

Where do hernias occur?

A hernia occurs when part of an internal organ bulges through a weak area of muscle. Most hernias occur in the abdomen. There are several types of hernias, including. hiatal, a small opening in the diaphragm that allows the upper part of the stomach to move up into the chest.

Can a hernia be congenital?

congenital diaphragmatic, a birth defect that needs surgery. hernias are common. They can affect men, women and children. A combination of muscle weakness and straining, such as with heavy lifting, might contribute. Some people are born with weak abdominal muscles and may be more likely to get a 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.

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.

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.