Femoral hernia. K41 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2019 edition of ICD-10-CM K41 became effective on October 1, 2018. This is the American ICD-10-CM version of K41 - other international versions of ICD-10 K41 may differ.
The 2022 edition of ICD-10-CM K41 became effective on October 1, 2021. This is the American ICD-10-CM version of K41 - other international versions of ICD-10 K41 may differ. Hernia with both gangrene and obstruction is classified to hernia with gangrene.
I have billed a Lap Femoral Hernia repair to Humana (Medicare replacement plan) with CPT 49659 as there is no laproscopic code for a femoral hernia repair. They have denied it stating that unlisted codes are non covered by Medicare. I have gotten feedback on how it should be billed.
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. 8.
ICD-10-CM Code for Encounter for surgical aftercare following surgery on specified body systems Z48. 81.
Bilateral femoral hernia, with obstruction, without gangrene, recurrent. K41. 01 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Z09 - Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm | ICD-10-CM.
Other specified postprocedural states 89 became effective on October 1, 2021. This is the American ICD-10-CM version of Z98. 89 - other international versions of ICD-10 Z98. 89 may differ.
Unilateral femoral hernia, with obstruction, without gangrene, recurrent. K41. 31 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 K41.
Tip: Since the laparoscopic repair of a sliding hernia is managed the same as a direct or indirect inguinal hernia, use that CPT code (49650 | 49651). Technique: • Repair similar to inguinal hernia – can be done open or laparoscopically. Strangulated femoral hernia may require bowel resection - best done open.
Follow-up visits, like initial visits, should be coded using the appropriate evaluation and management (E/M) code (i.e., 99211–99215). Given the limited interaction with the patient and limited work involved, the level of service is likely to be low (e.g., 99211 or 99212).
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.
99233What is CPT Code 99233? CPT code 99233 is assigned to a level 3 hospital subsequent care (follow up) note. 99233 is the highest level of non-critical care daily progress note. When it comes to 99233 documentation is critical, however understanding of the documentation required is even more critical.
Other specified postprocedural statesICD-10 code Z98. 89 for Other specified postprocedural states is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
9 Unspecified abdominal hernia without obstruction or gangrene.
ICD-10-CM Code for Unilateral inguinal hernia, without obstruction or gangrene, recurrent K40. 91.
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. 8.
Since there is no separate code for implanted mesh removal, use unlisted procedure code 49999 Unlisted procedure, abdomen, peritoneum and omentum to report the service.
If mesh implantation is performed with any other open hernia repair (inguinal, epigastric, umbilical, femoral), do not report +49568 because those codes include mesh placement. Mesh is also included as a part of laparoscopic repair. Do not report +49568 with laparoscopic repair codes 49652–49657.
This abnormal protrusion occurs due to a weak spot in the surrounding muscle or connective tissue (fascia). In some cases, only an empty sac protrudes through, but if the defect is large enough, the hernia sac can contain abdominal contents, typically part of the intestine.
Inguinal: occurs when abdominal contents, such as fatty or intestinal tissue, bulge through a weak area in the inner groin muscle of the lower abdominal wall at the inguinal canal. This is the most common type of hernia, accounting for 75 percent of all hernias.
Depending on the size of the hernia sac, it may be ligated and resected. The muscle tissue is repaired, and the incision is closed. A mesh or other prosthesis may be used for reinforcement of the muscle wall. There are many types of hernias.
Femoral: occurs when intra-abdominal tissue pushes through the wall of the femoral canal located in the upper part of the thigh near the groin, just below the inguinal ligament. It appears as a bulge near the groin or inner thigh. Lumbar: occurs when there is herniation through either of the lumbar triangles.