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.
Unspecified abdominal hernia without obstruction or gangrene 2016 2017 2018 2019 2020 2021 Billable/Specific Code K46.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM K46.9 became effective on October 1, 2020.
ICD-10-CM Code for Parastomal hernia without obstruction or gangrene K43. 5.
A parastomal hernia is a type of incisional hernia that allows protrusion of abdominal contents through the abdominal wall defect created during ostomy formation (image 1).
A parastomal hernia occurs when the intestines press outward near a stoma, the hole created for a colostomy or ileostomy appliance. This causes a bulge under the skin. It can also cause pain and bothersome leakage. Parastomal hernias are the most common complication of ostomy surgery.
The defects in parastomal hernias almost always contain a peritoneal sac with abdominal contents contained within the hernia. It is common to have adhesions that fix abdominal contents within the hernia sac. This makes the hernia an incarcerated hernia.
Abstract. A parastomal hernia is an incisional hernia in relation to an intestinal stoma on the abdominal wall and a common complication after stoma formation. Most parastomal hernias are relatively asymptomatic, but sometimes, a loop of bowel may become trapped in the sac, resulting in obstruction or strangulation.
44346 is the correct code for a laparoscopic parastoma hernia repair...
Bochdalek hernia is a developmental defect in the posterolateral diaphragm, allowing herniation of abdominal contents into the thorax causing mechanical compression of the developing lung parenchyma and sometimes causing lung hypoplasia.
In many cases, parastomal hernias are treatable with lifestyle changes, like losing weight or quitting smoking. Wearing an abdominal support belt can also help ease symptoms. But some parastomal hernias are severe enough to need surgical repair.
Diagnosis. CT scans or MRI are used to diagnose assess the extent and severity of a parastomal hernia.
Symptoms range from mild abdominal discomfort, distension, nausea, constipation to severe abdominal pain, fever and an irreducible hernia [3].
A stomal hernia (also called a para-stomal hernia) is a type of incisional hernia that occurs next to a stoma. It is a common problem, and can be challenging to manage.
Hernias occur when abdominal tissue or organs protrude through muscles of the abdominal wall. When the hernia traps tissue in the hernia bulge, it is referred to as an incarcerated hernia, which can lead to serious complications, including a strangulated hernia.
Mechanical bowel obstruction can be caused by a number of conditions. Some of the most common causes are: 1 Adhesions or scar tissue that forms after surgery 2 Foreign bodies (objects that are swallowed and block the intestines) 3 Gallstones (rare) 4 Hernias 5 Impacted stool 6 Intussusception (telescoping of one segment of bowel into another) 7 Tumors blocking the intestines 8 Volvulus (twisted intestine)
The term “postoperative’ can be misleading. A query may be necessary. Take Aways. Coders must be aware of the index entries for intestinal obstruction and follow the index. For conditions in the index, look for “with obstruction” underneath the main entry or subterm entries.
In the past, bowel obstruction was almost always coded as a diagnosis as the physician usually addressed the condition and did work up as to the cause, many times addressing the cause also. However that has changed as the coder will see in this coding tip.
Lastly, if intestinal obstruction is a complication of surgery, code K91.3-, may be warranted. Coders must validate that this is truly intestinal obstruction as a complication of surgery, and not just occurring after surgery due to another cause. The term “postoperative’ can be misleading. A query may be necessary.