icd 10 code for post op abdominal hernia repair

by Waylon Orn 9 min read

2022 ICD-10-CM Diagnosis Code Z48. 815: Encounter for surgical aftercare following surgery on the digestive system.

Full Answer

What is the ICD 10 code for hernia repair?

  • K40.0 Bilateral inguinal hernia, with obstruction, without gangrene K40.00 …… not specified as recurrent K40.01 …… recurrent
  • K40.1 Bilateral inguinal hernia, with gangrene K40.10 …… not specified as recurrent K40.11 …… recurrent
  • K40.2 Bilateral inguinal hernia, without obstruction or gangrene K40.20 …… not specified as recurrent K40.21 …… recurrent

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How do you repair abdominal hernia?

Here’s what that means:

  • Open — An incision of 3" to 6" is made in the abdomen to give the surgeon access to the hernia.
  • Tension — The edges of healthy tissue around the hernia are pulled together and sewn with sutures.
  • The incision is then closed with dissolving sutures or abdominal adhesive.

Are abdominal hernias ever inoperable?

Once a hole (hernia) develops in the abdominal wall, there usually will be no improvement without surgical intervention, because it cannot repair itself. Typically, the abdominal wall fascia doesn’t regrow to repair/ close the hole. However non-surgical approaches can help, too.

What are the complications of hernia repair?

Hernia Mesh Rejection

  • Extreme swelling at the surgical site
  • Tenderness or pain
  • Redness
  • Flu-like symptoms

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

Z48. 815 - Encounter for surgical aftercare following surgery on the digestive system | ICD-10-CM.

What is the ICD-10 code for abdominal wall hernia?

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.

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

ICD-10 code K43. 2 for Incisional hernia without obstruction or gangrene is a medical classification as listed by WHO under the range - Diseases of the digestive system .

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 CPT code for incisional hernia repair?

Hernia repairCPT codeDescriptor49560Repair initial incisional or ventral hernia; reducible49561Repair initial incisional or ventral hernia; incarcerated or strangulated49565Repair recurrent incisional or ventral hernia; reducible49566Repair recurrent incisional or ventral hernia; incarcerated or strangulated39 more rows•Apr 1, 2017

What is an incisional hernia?

An incisional hernia is a protrusion of tissue that forms at the site of a healing surgical scar. This type of hernia accounts for 15-20 percent of all abdominal hernias.

What is an abdominal hernia in adults?

A: Your abdomen is covered in layers of muscle and strong tissue that help you move and protect internal organs. A hernia is a gap in this muscular wall that allows the contents inside the abdomen to protrude outward. There are different types of hernias, but the most common hernias occur in the belly or groin areas.

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

In ICD-10-CM, epigastric hernias are coded to K43. 6, K43.

What K57 92?

ICD-10 code: K57. 92 Diverticulitis of intestine, part unspecified, without perforation, abscess or bleeding.

What is the ICD-10 code for status post surgery?

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

What is the ICD-10 for abdominal pain?

ICD-10 code R10. 9 for Unspecified abdominal pain is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .

What is the ICD-10 code for status post arthroscopy?

Arthroscopic surgical procedure converted to open procedure Z53. 33 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 Z53. 33 became effective on October 1, 2021.

What is abdominal 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.

What is a hernia with both gangrene and obstruction?

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.

When will the ICD-10-CM K46.9 be released?

The 2022 edition of ICD-10-CM K46.9 became effective on October 1, 2021.

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.

What is the code for a hernia repair?

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.

What determines correct coding of a hernia?

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.

What is the CPT code for mesh?

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.

What is the code for mesh removal?

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.

What is abdominal surgery?

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.

Why are incarcerated hernias more dangerous than incarcerated hernias?

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.

Why does my hernia protrude?

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.

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