icd 10 code for pain at site of previous hernia surgery

by Ms. Santina Wintheiser 7 min read

Other chronic postprocedural pain
The 2022 edition of ICD-10-CM G89. 28 became effective on October 1, 2021.

Full Answer

What causes pain in inguinal hernia?

What causes inguinal hernia?

  • Elevated pressure within the abdomen.
  • Pre-existing weak spots in the abdominal wall, for example, from birth.
  • Weakness of the abdominal wall due to aging or injury.
  • Straining during bowel movements due to chronic constipation.
  • Strenuous exercise, especially heavy weight lifting.
  • Pregnancy.
  • Chronic coughing or sneezing.

What is the diagnosis code for hernia?

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.

What is the ICD 10 code for hernia repair?

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.
  • The 2022 edition of ICD-10-CM K46.9 became effective on October 1, 2021.
  • This is the American ICD-10-CM version of K46.9 - other international versions of ICD-10 K46.9 may differ.

What are the symptoms of an inguinal hernia?

These include:

  • Discomforts (like pain, weakness, or pressure) in the groin. These symptoms may settle down when you lie down.
  • A feeling of heaviness in the groin, particularly when lifting, coughing, straining, or bending over.
  • Pain around the testicles. This can occur if the protruding abdominal tissues descend into the scrotum.
  • Nausea and vomiting.

What is the ICD-10 code for surgical site pain?

G89. 18 - Other acute postprocedural pain | ICD-10-CM.

What is the ICD-10 code for history of hernia repair?

Other specified postprocedural states The 2022 edition of ICD-10-CM Z98. 89 became effective on October 1, 2021.

What is acute postoperative pain?

Postoperative pain can be divided into acute pain and chronic pain. Acute pain is experienced immediately after surgery (up to 7 days) and pain which lasts more than 3 months after the injury is considered to be chronic pain.

What is the ICD-10 code for status post inguinal hernia repair?

815 - Encounter for surgical aftercare following surgery on the digestive system | ICD-10-CM.

What is diagnosis code Z98 89?

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 .

What is the ICD-10 code for History of pain?

39.

Which of the following is a complication of pain that occurs postoperatively?

The most common postoperative complications include fever, small lung blockages, infection, pulmonary embolism (PE) and deep vein thrombosis (DVT). Some complications listed here are very serious but most people having surgery will not experience them.

How is postoperative pain assessed?

The patient's own report is the most useful tool. The intensity of pain should therefore be assessed as far as possible by the patient as long as he/she is able to communicate and express what pain feels like.

Is post operative pain normal?

While you should expect to have some pain after your surgery, your doctor will make every effort to safely reduce it. In addition to keeping you comfortable, pain control can help speed your recovery and may reduce your risk of developing certain complications after surgery, such as pneumonia and blood clots.

What is the ICD-10 code for aftercare following hernia repair?

ICD-10-CM Code for Encounter for surgical aftercare following surgery on specified body systems Z48. 81.

What is the ICD-10 code for post surgery?

Encounter for other specified surgical aftercare Z48. 89 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 Z48. 89 became effective on October 1, 2021.

What is Aftercare following surgery?

Z aftercare codes are used in office follow-up situations in which the initial treatment of a disease is complete and the patient requires continued care during the healing or recovery phase or for long-term consequences of the disease.

What's postoperative mean?

following a surgical operationMedical Definition of postoperative 1 : relating to, occurring in, or being the period following a surgical operation postoperative care. 2 : having recently undergone a surgical operation a postoperative patient. Other Words from postoperative.

How long does post operative pain last?

The pain develops after a surgical operation. The pain lasts for at least three months after the operation....Privacy Overview.CookieDurationDescriptionCONSENT16 years 8 months 9 days 15 hours 12 minutesNo descriptionhuBvNo description1 more row

What type of pain is surgical pain?

Some surgical pain is deep somatic. This includes the part of the incision that cuts through muscle or other internal tissue. For example, a surgeon must cut through the muscles of the abdominal wall to remove an inflamed appendix. The pain that comes from those muscles is a deep somatic pain.

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 is the code for postoperative pain?

Postoperative pain not associated with a specific postoperative complication is reported with a code from Category G89, Pain not elsewhere classified, in Chapter 6, Diseases of the Nervous System and Sense Organs. There are four codes related to postoperative pain, including:

What is code assignment in coding?

The key elements to remember when coding complications of care are the following: Code assignment is based on the provider’s documentation of the relationship between the condition and the medical care or procedure.

Is postoperative pain normal?

Determining whether to report postoperative pain as an additional diagnosis is dependent on the documentation, which, again, must indicate that the pain is not normal or routine for the procedure if an additional code is used. If the documentation supports a diagnosis of non-routine, severe or excessive pain following a procedure, it then also must be determined whether the postoperative pain is occurring due to a complication of the procedure – which also must be documented clearly. Only then can the correct codes be assigned.

Is postoperative pain a part of recovery?

Postoperative pain typically is considered a normal part of the recovery process following most forms of surgery. Such pain often can be controlled using typical measures such as pre-operative, non-steroidal, anti-inflammatory medications; local anesthetics injected into the operative wound prior to suturing; postoperative analgesics;

Is post thoracotomy pain acute or chronic?

If the documentation does not specify whether the post-thoracotomy or post-procedural pain is acute or chronic, the default is acute.

Is postoperative pain a reportable condition?

Only when postoperative pain is documented to present beyond what is routine and expected for the relevant surgical procedure is it a reportable diagnosis. Postoperative pain that is not considered routine or expected further is classified by whether the pain is associated with a specific, documented postoperative complication.

ICD-10 Codes for Abdominal Pain

Abdominal pain is pain that you feel anywhere between your chest and groin. This is often referred to as the stomach region or belly. Almost everyone has pain in the abdomen at some point. Most of the time, it is not serious. How bad your pain is does not always reflect the seriousness of the condition causing the pain.

Causes of Abdominal Pain

Many different conditions can cause abdominal pain. The key is to know when you need to get medical care right away. Sometimes, you may only need to call a healthcare provider if your symptoms continue.

Treatment for Abdominal Pain

Common home remedies and over-the-counter (OTC) medicines include eat less food, take small amounts of baking soda, use lemon and/or lime juice, start a BRAT diet (banana, rice, applesauce, and toast) for a day or so for symptom relief, don’t smoke or drink alcohol.

Policy

Aetna considers surgical treatment (e.g., pelvic floor repair) for athletic pubalgia (also known as core muscle injury or "sports hernia") experimental and investigational because the effectiveness of this approach has not been established.

Background

Athletic pubalgia, also known as groin distruption or sportsman’s or sports hernia (SH), is a condition involving persistent groin pain during exercise when there is no evidence of a clinically detectable hernia.

The above policy is based on the following references

Ahumada LA, Ashruf S, Espinosa-de-los-Monteros A, et al. Athletic pubalgia: Definition and surgical treatment. Ann Plast Surg. 2005;55 (4):393-396.

What is the code for a C section scar?

When coding a previous or current cesarean-section (C-section) scar, Z98.891 History of uterine scar from previous surgery is appropriate when the mother is receiving antepartum care and has had a previous C-section delivery with no abnormalities. You must confirm that the mother is receiving antepartum care and there are (thus far) no complications or abnormalities of the organs and soft tissues of the pelvis causing an obstruction or complication.#N#If the presence of a scar from a previous C-section is causing an obstruction or complication—such as requiring hospitalization, specific obstetric care, or cesarean delivery before the onset of labor—use O34.21- Maternal care for scar from previous cesarean delivery. This is also is correct code for postpartum care if the patient has had a C-section delivery.#N#Note that the sixth character in the above code indicates the type of scar. You should encourage your providers to be exact and describe the scar with specificity:

Can you code O34.21 with Z34?

O34.21- can be used for both the antepartum and postpartum care of the mother. If the patient has a scar that is causing an obstruction or care beyond that is considered to be normal, the visit generally would not be considered “routine;” therefore, I recommend not coding O34.21- with Z34.- normal pregnancy. If the care rendered is routine, and the ...