There is no cure for symptomatic bilateral hernias except surgery. However, if the bilateral hernias are not bothering you, they may not require any treatment. In painful cases, hernias can be repaired either by a herniorrhaphy or a hernioplasty.
Risk factors include the following:
Hernia ( K40-K46) Unspecified abdominal hernia ( K46) K46.0 is a billable diagnosis code used to specify a medical diagnosis of unspecified abdominal hernia with obstruction, without gangrene. The code K46.0 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
To reduce the risk of inguinal hernia as an adult, you can:
815 - Encounter for surgical aftercare following surgery on the digestive system | ICD-10-CM.
Hernia repairCPT codeDescriptor49507Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated49520Repair recurrent inguinal hernia, any age; reducible49521Repair recurrent inguinal hernia, any age; incarcerated or strangulated49525Repair inguinal hernia, sliding, any age39 more rows•Apr 1, 2017
Inguinal hernia repairs are of the following three general types:Herniotomy (removal of the hernial sac only)Herniorrhaphy (herniotomy plus repair of the posterior wall of the inguinal canal)Hernioplasty (herniotomy plus reinforcement of the posterior wall of the inguinal canal with a synthetic mesh)
ICD-10 Code for Inguinal hernia- K40- Codify by AAPC.
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. Therefore, code +15777 should NOT be reported for open ventral and incisional hernia repairs.
Answer: Repair of an umbilical hernia via an open approach is coded as 49585. Mesh placement may not be reported separately. Per CPT, mesh placement is only reported separately with repair of open Incisional hernias.
Your surgeon will make incisions (cuts) in your groin and remove the "hernial sac". They will strengthen the muscle layer with stitches and will usually insert a synthetic mesh to cover the weak spots. Sometimes this operation is done using minimally invasive laparoscopic (key hole) surgery.
Inguinal hernias are very common (approximately 75% of abdominal wall hernias) with other types of hernias occurring at weak areas of abdominal wall fascia. Typically a hernia consists of visceral contents, a peritoneal sac, and overlying tissue (e.g., skin, subcutaneous tissue).
What is a bilateral inguinal hernia? In the case of a bilateral inguinal hernia there are weaknesses on both sides of the lower abdominal wall, resulting in bulges in the groin containing part of the peritoneum or abdominal fat. It is a very common phenomenon that mainly occurs in men.
Unilateral inguinal hernia, without obstruction or gangrene, recurrent. K40. 91 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
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 .
An inguinal hernia is a bulging of the contents of the abdomen through a weak area in the lower abdominal wall. Inguinal hernias can occur at either of two passages through the lower abdominal wall, one on each side of the groin. These passages are called inguinal canals.
CPT® Code 49507 in section: Repair initial inguinal hernia, age 5 years or older.
CPT® 49650 in section: Laparoscopy, surgical.
Placement of mesh (49568) is an add-on code for incisional or ventral hernia repairs, performed via an open approach. The range of codes that CPT®code 49568 may be reported with is 11004-11006, 49560—49566. The facility may bill for mesh in other cases, but there is not a separate physician charge.
CPT® Code 49560 in section: Repair initial incisional or ventral hernia.
Voilà, you’re done. If it’s open, you have a bit more work to do, so turn to code range 49491–49611 for open hernia repair.
Another factor that determines correct coding is the clinical presentation of the hernia. When the contents of the hernia sac return to their normal location spontaneously or by gentle manipulation, the hernia is considered reducible. While moving the contents may make the hernia appear smaller or disappear, the weakened tissue still needs to be repaired to avoid recurrence of the hernia.
Add-on code +49568 Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection (List separately in addition to code for the incisional or ventral hernia repair) can only be reported separately with codes 49560–49566 for incisional or ventral hernia repair and debridement codes 11040–11006.
Do not use add-on code +11008 Removal of prosthetic material or mesh, abdominal wall for infection (eg, for chronic or recurrent mesh infection or necrotizing soft tissue infection) (List separately in addition to code for primary procedure) to report mesh removal during hernia repair. Although it describes mesh removal, this code can only be used with 10180 Incision and drainage, complex, postoperative wound infection and debridement codes 11004–11006.
Surgery is directed at permanently closing off the orifice through which the abdominal contents protrude, after returning them to the abdominal cavity. Usually, an incision is made over the hernia and the hernia sac is dissected from any surrounding structures.
Incarcerated hernias are more worrisome because they run a greater likelihood of becoming strangulated, which is when the blood supply to an incarcerated hernia is cut off as the vessels pass through the neck of the hernia. This is dangerous, due to the risk of gangrene when tissues die, and can be life-threatening if it isn’t treated.
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.
The CPT code for this procedure is in the range of 49491 to 49525.
In bilateral inguinal hernia, the bulging tissues are found on both the inguinal canals. The incision is made near the abdominal region. The CPT code used for this process is 49650.
Inguinal hernia repair is the surgical procedure of fixing the bulging tissues of lower abdomen back by stitching. This condition is usually observed in the groin area or near groin area (commonly in men). The other names of this procedure are inguinal herniorrhaphy and open hernia repair.
The last update in hernia coding was in 2009.
An abdominal hernia is a protrusion of part of the intestines through a weakened section of the abdominal cavity; herniations can occur in other parts of the body, such as muscle herniations. This article addresses abdominal hernias. Surgery is directed at permanently closing off the orifice through which the abdominal structures protrude.
If you are new to general surgery coding, read on. Placement of mesh (49568) is an add-on code for incisional or ventral hernia repairs, performed via an open approach. The range of codes that CPT ® code 49568 may be reported with is 49560—49566.
CPT ® code 49659, unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy is reported when a CPT ® code does not exist for the type of repair performed.
Surgery is directed at permanently closing off the orifice through which the abdominal structures protrude. Sometimes, the hernia can be manually reduced, but this is not a permanent intervention. There isn’t a code for medical reduction of a hernia, it is part of an E/M service.
If either an incisional or ventral hernia repair is done at the time of another abdominal procedure, through the same incision, do not separately report the hernia repair. It is considered inclusive of the other procedure.