icd 10 code for recurrent incarcerated incisional hernia

by Isadore Schaefer 8 min read

Incisional hernia without obstruction or gangrene
K43. 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 K43. 2 became effective on October 1, 2021.

Can we predict incisional hernia?

Oct 01, 2021 · 2022 ICD-10-CM Diagnosis Code K43.0 2022 ICD-10-CM Diagnosis Code K43.0 Incisional hernia with obstruction, without gangrene 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code K43.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the procedure code for inguinal hernia repair?

ICD-10-CM Diagnosis Code K41.30. Unilateral femoral hernia, with obstruction, without gangrene, not specified as recurrent. 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code. Applicable To. Femoral hernia, with obstruction NOS. …

How common are incarcerated abdominal umbilical hernias?

Oct 01, 2019 · What is the ICD 10 code for incarcerated incisional hernia? Incisional hernia without obstruction or gangrene. The 2020 edition of ICD-10-CM K43. 2 became effective on October 1, 2019. This is the American ICD-10-CM version of K43. 2 - other international versions of ICD-10 K43. Click to see full answer.

What is CPT code for repair recurrent inguinal hernia?

K43.0 Incisional hernia with obstruction, without g... K43.1 Incisional hernia with gangrene; K43.2 Incisional hernia without obstruction or gang... K43.3 Parastomal hernia with obstruction, without g... K43.4 Parastomal hernia with gangrene; K43.5 Parastomal hernia without obstruction or gang... K43.6 Other and unspecified ventral hernia with obs...

What is the ICD-10 code for incarcerated incisional hernia?

K43.0ICD-10-CM Code for Incisional hernia with obstruction, without gangrene K43. 0.

What is an incarcerated incisional hernia?

An incarcerated hernia is a hernia which is no longer reducible. The vascular supply of the bowel is however not compromised. Bowel obstruction is common. Most incisional hernias are easily recognized by careful inspection and palpation.May 19, 2009

What is the CPT code for incarcerated hernia repair?

A 1 centimeter incarcerated initial incisional hernia is repaired with the same code (49561) as a 25 centimeter incarcerated initial incisional hernia, and both receive the same payment regardless of the difference in operative time and effort.Apr 1, 2017

Can an incisional hernia recur?

The outcome for most hernias is usually good with treatment. It is rare for an inguinal hernia to come back (1 to 3 percent chance, depending on the type of hernia and many other factors). Incisional hernias are more likely to return. When a hernia comes back after being repaired, this is called a recurrence.

What incarcerated mean?

Definition of incarcerated 1 : confined in a jail or prison Michigan law allows convicted felons to vote and run for office unless they are currently incarcerated, or if their offenses are fraud-related or constitute a breach of public trust.

How do you tell if a hernia is incarcerated?

Identification of the incarcerated hernia site: incarcerated hernia is mainly characterized by tenderness at the incarcerated site, followed by whole abdominal pain, bloating, nausea, vomiting, and intestinal obstruction such as absence of bowel movements.

How do you code multiple incisional hernia repairs?

If two separate and distinct hernias were repaired (such as parastomal and ventral), then it is appropriate to also report code 9560 with a multiple procedure modifier –51. If mesh was used for the ventral hernia repair, use 9568 as an add-on code.

What is the CPT code for laparoscopic incisional hernia repair?

Code 15734 is an open procedure. For more complicated laparoscopic hernia repair procedures that may include separation of components, report code 49659, Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy.Apr 6, 2017

How do you code a recurrent Umbilical hernia?

Recurrent hernias Add-on code 49568 is reported along with 49565 if synthetic mesh is used.Mar 1, 2017

Can hernia happen twice?

While the majority of hernia surgeries are successful, there is a chance that a hernia could return months or even years after hernia surgery. When hernias reappear near or at the location of a previous repair, they are called recurrent hernias.

What can cause a hernia recurrence?

Causes of recurrent herniaInfection of wound from initial hernia surgery.Being too active too soon after surgery.Chronic use of steroids.Chronic acute cough.Smoking.Obesity.

Can you have hernia surgery twice?

Traditional hernia repairs that simply stitch the hernia closed and do not use mesh have the highest rate of recurrence. It is estimated that up to 30% of such repairs can recur. This is because the tissue around the suture can weaken over time and abdominal stress can eventually cause the tissue to tear.

What side of the body does a hernia occur on?

Groin hernias occur more often on the right than left side. The main concern is strangulation, where the blood supply to part of the bowel is blocked. This usually produces severe pain and tenderness of the area. Hiatus or hiatal hernias often result in heartburn but may also cause chest pain or pain with eating.

What is the exit of an organ, such as the bowel, through the wall of the cavity in which it normally

A hernia is the exit of an organ, such as the bowel, through the wall of the cavity in which it normally resides. Hernias come in a number of different types. Most commonly they involve the abdomen, specifically the groin. Groin hernias are most common of the inguinal type but may also be femoral.

What is inclusion term?

Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.

Can a hernia be on the right side?

A bulging area may occur that becomes larger when bearing down. Groin hernias occur more often on the right than left side.

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 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?).

What is a bulge in the abdominal wall called?

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), but most commonly occur into or through a weakness 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 femoral hernias occur?

Femoral: These hernias occur in the area between the abdomen and the thigh, usually appearing as a bulge on the upper thigh. 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.

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.

Is a femoral hernia irreducible?

Femoral hernias are particularly at risk of becoming irreducible and strangulated. Example 2: A 42-year-old female patient presents with a gangrenous Meckel’s diverticulum in a strangulated umbilical hernia sac, and is treated by dissection of diverticulomesenteric bands and diverticulectomy.