icd 10 code for possible groin hernia

by Zakary Corkery 9 min read

ICD-10-CM Code for Unilateral inguinal hernia, with obstruction, without gangrene K40. 3.

Full Answer

What is the ICD-10 code for K40 90?

ICD-10 code: K40. 90 Unilateral or unspecified inguinal hernia, without obstruction or gangrene Not specified as recurrent hernia.

What is the ICD-10-CM code for inguinal hernia?

ICD-10 code K40 for Inguinal hernia is a medical classification as listed by WHO under the range - Diseases of the digestive system .

Is a groin hernia the same as an inguinal hernia?

Inguinal hernias, also known as groin hernias, occur when a bit of tissue protrudes through a weak spot in the muscles between the upper thigh and the lower abdomen. Inguinal hernias are usually caused by an opening in the muscle wall that should have closed before birth but instead remained open.

What is the ICD-10 for left inguinal hernia?

3 Unilateral or unspecified inguinal hernia, with obstruction, without gangrene.

What is the ICD 10 code for sports hernia?

KeywordsSynonymsAthletic hernia Athletic pubalgia Gilmore's groin Gracilis syndrome Groin pain Groin pull Groin strain Osteitis pubis Pectineus syndrome Sports herniaICD-10 CodesM77.9Tendinitis NOSS39.91Groin injury (abdomen)6 more rows•Jul 6, 2019

What is a unilateral inguinal hernia?

An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. The resulting bulge can be painful, especially when you cough, bend over or lift a heavy object.

What are the 3 types of hernias?

Hernias are less common in women than in men, however hernias in women can cause chronic pelvic pain, and hernia repair is very effective at eliminating the cause of this pain. The main types of hernias that can develop in women are – indirect inguinal hernias, femoral hernias and umbilical hernias.

What are the 6 types of hernias?

TypesEpigastric hernia. An epigastric hernia occurs in the epigastric region of the abdomen, which is located above the belly button and below the rib cage. ... Femoral hernia. ... Hiatal hernia. ... Incisional hernia. ... Inguinal hernia. ... Umbilical hernia.

What is a hernia in the groin for a woman?

An inguinal hernia (say "IN-gwuh-nul HER-nee-uh") happens when tissue bulges through a weak spot in your groin area. You may see or feel a tender bulge in the groin or scrotum. You may also have pain, pressure or burning, or a feeling that something has "given way."

What is the ICD 10 code for right groin pain?

R10. 2 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 R10.

What is the CPT code for inguinal hernia repair?

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

What can you do for a groin hernia?

Surgery is the only way to fix an inguinal hernia. The doctor will push the bulging tissue back inside and strengthen your abdominal wall with stitches and perhaps mesh. They might be able to do this through a small cut in your belly using a special tool, a procedure called laparoscopy.

What can you do for a groin hernia?

Surgery is the only way to fix an inguinal hernia. The doctor will push the bulging tissue back inside and strengthen your abdominal wall with stitches and perhaps mesh. They might be able to do this through a small cut in your belly using a special tool, a procedure called laparoscopy.

What aggravates a inguinal hernia?

Any condition that causes a chronic cough, such as smoking, bronchitis, or cystic fibrosis, increases the chance of inguinal hernias. Frequent straining during urination or bowel movements is another risk factor, as are increased weight and pregnancy, which increase the pressure on the abdominal wall muscles.

How do I know if I have a hernia or groin strain?

Feelings of dull aching and pain in the groin area are common for both a muscle strain and a hernia. A key indicator that you may have a hernia, however, is if you have a small bulge or lump on one side of the groin. This is the result of an area of tissue or organ pushing through the groin or abdominal muscle.

What should you not do with an inguinal hernia?

Wise ChoicesAvoid heavy lifting when you can. Lifting puts stress on the groin.When you must lift, don't bend over. Lift objects by using the legs, not the back.Eat high-fiber foods and drink plenty of water. This helps prevent constipation and straining during bowel movements.Maintain a healthy body weight.

What is the ICD-10 code for an inguinal hernia?

K40 is a non-billable ICD-10 code for Inguinal hernia. It should not be used for HIPAA-covered transactions as a more specific code is available to choose from below.

What is a billable K40.10?

Billable - K40.10 Bilateral inguinal hernia, with gangrene, not specified as recurrent

What are the codes for hernias?

Hernia codes (K40–K46) include acquired hernias, congenital hernias (except diaphragmatic or hiatus), and recurrent hernia.#N#Inguinal hernia K40-K40.91: This subcategory includes codes for direct inguinal, double inguinal, indirect, oblique inguinal, and scrotal hernias. To assign a code, you must know the location and laterality of the hernia, whether it’s with or without obstruction, whether it’s recurrent, and if there is gangrene present.#N#Femoral hernia K41.0-K41.91: This subcategory includes codes for paraumbilical hernias. To assign a code, you must know if the hernia is bilateral or unilateral, with or without obstruction, whether it’s recurrent, and if there is gangrene present.#N#Umbilical hernia K42-K42.9: To assign a code from this subcategory, you must know the hernia has an obstruction and/or gangrene present. An excludes 1 note with this category indicates that if an omphalocele (Q79.2 Exomphalos) is present, do not report these two codes together.#N#Ventral hernia K43.0-K43.9: To assign a code from this subcategory, know if the hernia is classified as an incisional hernia or a parastomal hernia, and if there is an obstruction and/or gangrene present.#N#Diaphragmatic hernia K44.0-K44.9: To assign a code from this subcategory, know if there is an obstruction and/or gangrene present. This code category includes hiatal hernia and esophageal or sliding hernia. There is an excludes 1 note that indicates not to report a congenital diaphragmatic hernia (Q79.0 Congenital diaphragmatic hernia) or a congenital hiatus hernia (Q40.1 Congenital hiatus hernia) at the same time as a code from this subcategory.#N#Other abdominal hernia K45-K45.8: This subcategory includes abdominal hernia, specified site, not elsewhere classified; lumbar hernia; obturator hernia; pudendal hernia; retroperitoneal hernia; and sciatic hernias. To assign a code, you must know if there is an obstruction and/or gangrene present.#N#Unspecified abdominal hernia K46-K46.9: Use a unspecified code only if documentation is imprecise and there is no way to query the reporting provider for more detail.

What is a hernia in medical terminology?

Hernia is a general term to describe a bulge or protrusion of an organ through the structure or muscle that usually contains it. Hernias can occur throughout the body (for instance, a herniated intervertebral disk), ...

What are the different types of hernias?

Common hernia types include:#N#Inguinal: In this common form of hernia (75 percent of all hernias are of the inguinal variety), the intestine bulges through a weak area in the inguinal canal in the groin area. Inguinal her nias may be either direct (congenital) or indirect (acquired).#N#Femoral: These hernias occur in the area between the abdomen and the thigh, usually appearing as a bulge on the upper thigh.#N#Umbilical: The fascia of the navel is thinner than in the rest of the abdomen. An umbilical hernia occurs when contents protrude from the navel.#N#Ventral/Incisional: A defect in the abdominal wall at the site of a previous operative incision.#N#Diaphragmatic: A defect in the diaphragm (congenital or acquired) allows contents from the abdominal cavity to spill into the chest cavity.#N#Each of the above categories may include specific subcategories (e.g., femoral hernias include paraumbilical hernias). Additional hernia types include lumbar hernia, obturator hernia, pudendal hernia, and others.#N#2. Laterality#N#The concept of laterality only applies to inguinal and femoral hernias. For these hernia types, provider documentation must specify whether the hernia is bilateral or unilateral.#N#3. Complicated By#N#Complications of hernia include possible obstruction (documentation stating incarcerated, irreducible, or strangulated implies this) and the presence of gangrene.#N#If the provider can manually push the contents of the hernia sac (e.g., the intestine, in the case of an inguinal hernia) back through the fascial defect, the hernia is reducible. In some cases, the contents of the hernia sac become trapped in the opening caused by the fascial defect. Such incarcerated or strangulated hernias cannot be reduced and pose potential life-threatening danger.#N#A note at the beginning of the Hernia section in ICD-10-CM instructs that if a hernia has both obstruction and gangrene to classify it as having gangrene.#N#4. Temporal Parameters#N#Temporal parameters include status of recurrent and not specified as recurrent (e.g., Is this the first hernia at this location?).

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. The femoral canal is the path through which the femoral artery, vein, and nerve leave the abdominal cavity to enter the thigh.

Why do umbilical hernias appear later in life?

If small, this type of hernia may close by age 2. Even if the area is closed at birth, umbilical hernias can appear later in life because this spot may remain a weaker place in the abdominal wall.

How do you know if you have a hernia?

Common symptoms of hernia vary, depending on the type. For asymptomatic hernia, the patient may have swelling or fullness at the hernia site. Although there’s little pain or tenderness, the patient may have an aching sensation that radiates into the area of the hernia.

Where do inguinal hernias occur?

Femoral: These hernias occur in the area between the abdomen and the thigh, usually appearing as a bul ge on the upper thigh. Umbilical: The fascia of the navel is thinner than in the rest of the abdomen.

What is the ICD-10 code for bilateral inguinal hernia?

K40.0 is a non-billable ICD-10 code for Bilateral inguinal hernia, with obstruction, without gangrene. It should not be used for HIPAA-covered transactions as a more specific code is available to choose from below.

Do you include decimal points in ICD-10?

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.

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