ICD-10-CM Diagnosis Code K46.1 [convert to ICD-9-CM] Unspecified abdominal hernia with gangrene. Abdominal hernia with gangrene; Hernia, with gangrene; Intra-abdominal gangrenous hernia; Intraabdominal hernia with gangrene; Any condition listed under K46 specified as gangrenous. ICD-10-CM Diagnosis Code K46.1.
Oct 01, 2021 · 2022 ICD-10-CM Diagnosis Code Z98.89 Other specified postprocedural states 2016 2017 - Converted to Parent Code 2018 2019 2020 2021 2022 Non-Billable/Non-Specific …
Showing 1-25: ICD-10-CM Diagnosis Code K40. Inguinal hernia. bubonocele; direct inguinal hernia; double inguinal hernia; indirect inguinal hernia; inguinal hernia NOS; oblique inguinal hernia; …
K41.1 Bilateral femoral hernia, with gangrene. K41.10 Bilateral femoral hernia, with gangrene, not ... K41.11 Bilateral femoral hernia, with gangrene, recu... K41.2 Bilateral femoral hernia, without …
Z98.890 is a billable diagnosis code used to specify a medical diagnosis of other specified postprocedural states. The code Z98.890 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals. The code Z98.890 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.
Z98.890 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code Z98.890 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
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;
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.
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:
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.
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.
If the documentation is not clear, query the person who wrote it . There are a number of postoperative complications that may be the cause either acute or chronic pain. The health record must be reviewed carefully to determine that a cause-and-effect relationship exists between the complication and the pain.
Lauri Gray, RHIT, CPC, has worked in the health information management field for 30 years. She began her career as a health records supervisor in a multi-specialty clinic. Following that she worked in the managed care industry as a contracting and coding specialist for a major HMO. Most recently she has worked as a clinical technical editor of coding and reimbursement print and electronic products. She has also taught medical coding at the College of Eastern Utah. Areas of expertise include: ICD-10-CM, ICD-10-PCS, ICD-9-CM diagnosis and procedure coding, physician coding and reimbursement, claims adjudication processes, third-party reimbursement, RBRVS and fee schedule development. She is a member of the American Academy of Professional Coders (AAPC) and the American Health Information Management Association (AHIMA).