Unilateral inguinal hernia, without obstruction or gangrene, recurrent
Diagnosis Index entries containing back-references to K46.0: Hernia, hernial (acquired) (recurrent) K46.9 ICD-10-CM Diagnosis Code K46.9. Unspecified abdominal hernia without obstruction or gangrene 2016 2017 2018 2019 Billable/Specific Code Incarceration, incarcerated enterocele K46.0. epiplocele K46.0
Hernia codes (K40–K46) include acquired hernias, congenital hernias (except diaphragmatic or hiatus), and recurrent hernia. Inguinal hernia K40-K40.91: This subcategory includes codes for direct inguinal, double inguinal, indirect, oblique inguinal, and scrotal hernias.
Incisional hernia without obstruction or gangrene. The 2018/2019 edition of ICD-10-CM K43.2 became effective on October 1, 2018. This is the American ICD-10-CM version of K43.2 - other international versions of ICD-10 K43.2 may differ. Hernia with both gangrene and obstruction is classified to hernia with gangrene.
ICD-10-CM Diagnosis Codes K41-*. K41 Femoral hernia K41.0 Bilateral femoral hernia, with obstruction, w... K41.00 Bilateral femoral hernia, with obstruction, w... K41.01 Bilateral femoral hernia, with obstruction, w... K41.1 Bilateral femoral hernia, with gangrene K41.10 Bilateral femoral hernia, with gangrene, not ...
Pelvic organ prolapse is when 1 or more of the organs in the pelvis slip down from their normal position and bulge into the vagina. It can be the womb (uterus), bowel, bladder or top of the vagina. A prolapse is not life threatening, but it can cause pain and discomfort.
Sacrocolpopexy—Used to treat vaginal vault prolapse and enterocele. It can be done with an abdominal incision or with laparoscopy. Surgical mesh is attached to the front and back walls of the vagina and then to the sacrum (tail bone). This lifts the vagina back into place.
Vaginal vault prolapse: The top of the vagina (known as the “vaginal vault”) droops down into the vaginal canal. This usually occurs in women who have had a hysterectomy (removal of the uterus). Uterine prolapse: The uterus bulges or slips into the vagina, sometimes so far that it comes out of the vaginal opening.
Apical prolapse is the descent of uterus, cervix, or vaginal vault. Pelvic organ prolapse (POP) affects millions of women; approximately 200,000 inpatient surgical procedures for prolapse are performed annually in the United States [1,2].
Exercising weak muscles regularly, over a period of time can strengthen them and make them work effectively again. Regular gentle exercise, such as walking can also help to strengthen your pelvic floor muscles.
N81. 4 - Uterovaginal prolapse, unspecified | ICD-10-CM.
Symptoms of vaginal vault prolapse Weak urinary stream, straining to urinate and difficulty emptying the bladder. Increased urinary infections. Vaginal bleeding and discharge. A bulge of tissue that may protrude from the vagina, and the need to apply finger pressure to this bulge in order to urinate or empty the bowels.
Will my insurance cover the prolapse procedure? Most insurance plans, including Medicare, cover these procedures.
Colpopexy is an excellent means to provide Vaginal Vault Suspension. This procedure entails suspension of the vaginal cuff to the sacrum with fascia or synthetic mesh.
Degrees of uterine prolapse The four categories of uterine prolapse are: Stage I – the uterus is in the upper half of the vagina. Stage II – the uterus has descended nearly to the opening of the vagina. Stage III – the uterus protrudes out of the vagina. Stage IV – the uterus is completely out of the vagina.
Many women with uterine prolapse have no symptoms. If symptoms are present, they may include bulging in the vagina, feeling pressure in the pelvis or vagina, and lower back pain accompanied by bulging in the vagina. There is no definitive way to prevent uterine prolapse.
The 2021 edition of ICD-10-CM K46 became effective on October 1, 2020.
A protrusion of abdominal structures through the retaining abdominal wall. It involves two parts: an opening in the abdominal wall, and a hernia sac consisting of peritoneum and abdominal contents. Abdominal hernias include groin hernia (hernia, femoral; hernia, inguinal) and ventral hernia. An intestinal hernia.
A hernia occurs when part of an internal organ bulges through a weak area of muscle. Most hernias occur in the abdomen. There are several types of hernias, including. hiatal, a small opening in the diaphragm that allows the upper part of the stomach to move up into the chest.
The 2022 edition of ICD-10-CM K46 became effective on October 1, 2021.
congenital diaphragmatic, a birth defect that needs surgery. hernias are common. They can affect men, women and children. A combination of muscle weakness and straining, such as with heavy lifting, might contribute. Some people are born with weak abdominal muscles and may be more likely to get a hernia.
A protrusion of abdominal structures through the retaining abdominal wall. It involves two parts: an opening in the abdominal wall, and a hernia sac consisting of peritoneum and abdominal contents. Abdominal hernias include groin hernia (hernia, femoral; hernia, inguinal) and ventral hernia.
Hernia with both gangrene and obstruction is classified to hernia with gangrene. A protrusion of abdominal structures through the retaining abdominal wall. It involves two parts: an opening in the abdominal wall, and a hernia sac consisting of peritoneum and abdominal contents.
The 2022 edition of ICD-10-CM K46.9 became effective on October 1, 2021.
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.
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.
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.
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:
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):
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.
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.
A hernia caused by weakness of the anterior abdominal wall due to midline defects, previous incisions, or increased intra-abdominal pressure. Ventral hernias include umbilical hernia, incisional, epigastric, and spigelian hernias.
The 2022 edition of ICD-10-CM K43.9 became effective on October 1, 2021.
Hernia with both gangrene and obstruction is classified to hernia with gangrene. A hernia caused by weakness of the anterior abdominal wall due to midline defects, previous incisions, or increased intra-abdominal pressure. Ventral hernias include umbilical hernia, incisional, epigastric, and spigelian 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.
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), ...
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?).
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.
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.
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.
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.