CPT code | Descriptor | 2017 total RVU |
---|---|---|
49580 | Repair umbilical hernia, younger than age 5 years; reducible | 9.46 |
49582 | Repair umbilical hernia, younger than age 5 years; incarcerated or strangulated | 13.34 |
49585 | Repair umbilical hernia, age 5 years or older; reducible | 12.85 |
K42.9 is a valid billable ICD-10 diagnosis code for Umbilical hernia without obstruction or gangrene . It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 .
DO NOT include the decimal point when electronically filing claims as it may be rejected. Some clearinghouses may remove it for you but to avoid having a rejected claim due to an invalid ICD-10 code, do not include the decimal point when submitting claims electronically. See also:
A musculoskeletal abnormality is a disorder of the musculoskeletal system present at birth.
Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here."
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Q79.5. Click on any term below to browse the alphabetical index.
Approximately 10 to 20 percent of newborn’s have an umbilical hernia. This is caused by a small opening in the abdominal muscles that abdominal contents (e.g., fluid, abdominal lining) spill through. These usually heal and resolve on their own. Otherwise, at 3 to 4 years of age, the hernia will be surgically repaired.
Depending on the study, 2 to 10 percent of newborns have inconclusive results at discharge (e.g., there may be fluid in the middle ear; the newborn may be fussy; one ear might pass, but the other does not).
For instance, abnormal findings on screenings — for example, newborn hearing screening or lab screenings — are not coded in the inpatient record, unless: There was diagnostic testing or a specialty inpatient consult; or. The pediatrician notes the abnormal results have implications for future healthcare.
Immaturity is not congenital absence, agenesis, stenosis, stricture, or malformation. Because this is a normal condition, there is no code for it. Do not report Q10.3 – Q10.6 or any of the H04 Disorders of lacrimal system for immaturity of the lacrimal ducts.
Inpatient coders do not code immature lacrimal ducts because the condition does not use additional resources. Usually, the time spent teaching parents how to care for the newborn’s eyes until the lacrimal ducts mature is not significant.
Most newborns have ointment administered at birth, or soon after the initial bonding with the mother. Although inflammation occurs less frequently now than in the past because the medication used has changed, it may occur.#N#This is not a reportable inpatient condition. The ointment is administered by the hospital staff, so there is no professional component to the service. Even if it meets the technical meaning of conjunctivitis (inflammation of the conjunctiva), it isn’t contagious; it’s self-limiting and does not affect medical decision-making, so it cannot be coded on the pediatrician’s encounter.#N#To determine if the administration of the anti-infective (e.g., erythromycin) externally to the eye (3E0CX2 Introduction of oxazolidinones into eye, external approach) is coded, check if your hospital has a policy on inpatient procedure collection. Each payer can develop its own diagnosis-related group. Usually, procedures coded:
There is no CPT® code because these hospital screenings are usually done by hospital staff who are trained by an audiologist. Because it is a screening (not diagnostic), the test does not meet the definition of a “diagnostic procedure or therapeutic treatment” for a clinically significant condition.