Some doctors may use the terms “ ventral hernia ” and “incisional hernia” interchangeably. A ventral hernia refers to any hernia type that occurs along the midline of the stomach. However, not all ventral hernias are incisional hernias. Read about incisional hernias after cesarean delivery.
Ventral (Incisional) Hernia
A reducible hernia is a hernia with a bulge that flattens out when you lie down or push against it gently. This type of hernia is not an immediate danger to your health, although it may be painful and worsen over time if left untreated.
Hernias are classified as reducible when the hernia contents can be placed intra-abdominally through the layers of the abdominal wall. If the contents of the hernia are not able to be reduced, the hernia is considered incarcerated.
A ventral (abdominal) hernia refers to any protrusion of intestine or other tissue through a weakness or gap in the abdominal wall. Umbilical and incisional hernias are specific types of ventral hernias.
There are three types of ventral hernia:Epigastric (stomach area) hernia: Occurs anywhere from just below the breastbone to the navel (belly button). This type of hernia is seen in both men and women.Umbilical (belly button) hernia: Occurs in the area of the belly button.Incisional hernia.
About Ventral Hernias A ventral hernia occurs when a weak spot in the abdomen enables abdominal tissue or an organ (such as an intestine) to protrude through a cavity muscle area. These hernias are visibly identified by a bulge in the belly area.
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.
ICD-10 code K43. 9 for Ventral hernia without obstruction or gangrene is a medical classification as listed by WHO under the range - Diseases of the digestive system .
Ventral hernias are not in the inguinal area, and have a different anatomy, and therefore a different repair. Depending on the hernia, the body habitus, and the forces at work on the abdominal wall, the surgeon may choose either an open repair or a laparoscopic repair, all of which may or may not use mesh.
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
Highlights. Giant ventral hernias are defined as hernia >10 cm with loss of domain. Preoperative CT with volumetry and cardiorespiratory exploration are advocated. Cardiorespiratory and cutaneous preparation should be considered.
An umbilical hernia occurs when part of your intestine bulges through the opening in your abdominal muscles near your bellybutton (navel). Umbilical hernias are common and typically harmless.
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.
ICD Code K43 is a non-billable code. To code a diagnosis of this type, you must use one of the nine child codes of K43 that describes the diagnosis 'ventral hernia' in more detail. K43 Ventral hernia. NON-BILLABLE. BILLABLE.
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.
K43. Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail. ICD Code K43 is a non-billable code.
Hernias come in a number of different types. Most commonly they involve the abdomen, specifically the groin.
A bulging area may occur that becomes larger when bearing down. Groin hernias occur more often on the right than left side.
Groin hernias are most common of the inguinal type but may also be femoral. Other hernias include hiatus, incisional, and umbilical hernias. For groin hernias symptoms are present in about 66% of people. This may include pain or discomfort especially with coughing, exercise, or going to the toilet.