icd 10 code for screening inguinal hernia

by Mrs. Geraldine Ankunding DDS 8 min read

ICD-10 Code for Inguinal hernia- K40- Codify by AAPC.

What is the procedure code for inguinal hernia repair?

  • Type of hernia (inguinal, lumbar, femoral, incisional, ventral, epigastric, umbilical, spigelian)
  • Patient age (infant, child, adult)
  • Patient presentation (initial versus recurrent)
  • Clinical presentation (reducible versus incarcerated or strangulated)
  • Method of repair (open versus laparoscopic)

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

More items...

What is the diagnosis code for abdominal hernia?

Unspecified abdominal hernia without obstruction or gangrene

  • Tabular List of Diseases and Injuries. The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes ...
  • Index to Diseases and Injuries. ...
  • Approximate Synonyms
  • Convert K46.9 to ICD-9 Code

What is the ICD 10 code for inguinal hernia incarcerated?

What is the ICD 10 code for inguinal hernia incarcerated? Hernia (K40-K46) Inguinal hernia (unilateral): · causing obstruction · incarcerated · irreducible · strangulated. } } } } K40.4. Unilateral or unspecified inguinal hernia, with gangrene. Inguinal hernia NOS with gangrene. K40.9.

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

ICD-10 Code for Unilateral inguinal hernia, with obstruction, without gangrene- K40. 3- Codify by AAPC.

What is the ICD-10 code for screening?

9.

What is the ICD-10 code for Preprocedural examination?

Z01.81ICD-10 Code for Encounter for preprocedural examinations- Z01. 81- Codify by AAPC.

What is inguinal examination?

A physical exam is usually all that's needed to diagnose an inguinal hernia. Your doctor will check for a bulge in the groin area. Because standing and coughing can make a hernia more prominent, you'll likely be asked to stand and cough or strain.

What does code Z12 11 mean?

Z12. 11: Encounter for screening for malignant neoplasm of the colon.

What are screening codes?

A screening code may be the first-listed code if the reason for the visit is specifically the screening exam. A screening Z code also may be used as an additional code if the screening is done during an office visit for other problems. A procedure code is required to confirm the screening was performed.

What is the ICD-10 code for ASHD?

ICD-10 Code for Atherosclerotic heart disease of native coronary artery without angina pectoris- I25. 10- Codify by AAPC.

Can Z01 818 be a primary diagnosis?

When you bill for this service, the primary diagnosis on the claim, and the one attached to the EM code on the line item, will be a Z code (e.g., Z01. 818, “Encounter for other preprocedural examination”). The secondary diagnosis will be the reason for the surgery, the cataract in the right eye (e.g., H25.

What is DX code E66 01?

E66. 01 is morbid (severe) obesity from excess calories.

Is the inguinal region part of the abdomen?

Overview. The inguinal region of the body, also known as the groin, is located on the lower portion of the anterior abdominal wall, with the thigh inferiorly, the pubic tubercle medially, and the anterior superior iliac spine (ASIS) superolaterally.

How do you test for an inguinal hernia?

With the fingers placed over the femoral region, the external inguinal ring, and the internal ring, have the patient cough. A palpable bulge or impulse located in any one of these areas may indicate a hernia. The examiner should then return to the sitting position.

How do you describe an inguinal hernia?

An inguinal hernia is a bulging of the contents of the abdomen through a weak area in the lower abdominal wall. Inguinal hernias can occur at either of two passages through the lower abdominal wall, one on each side of the groin. These passages are called inguinal canals.

What is an abdominal hernia?

An abdominal hernia with an external bulge in the groin region. It can be classified by the location of herniation. Indirect inguinal hernias occur through the internal inguinal ring. Direct inguinal hernias occur through defects in the abdominal wall (transversalis fascia) in hesselbach's triangle. The former type is commonly seen in children and ...

Is K40 a reimbursement code?

Inguinal hernia. K40 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2021 edition of ICD-10-CM K40 became effective on October 1, 2020. This is the American ICD-10-CM version of K40 - other international versions of ICD-10 K40 may differ.

Information

In outpatient care, the ICD code on medical documents is always appended with a diagnostic confidence indicator (A, G, V or Z): A (excluded diagnosis), G (confirmed diagnosis), V (tentative diagnosis) and Z (condition after a confirmed diagnosis).

Source

Provided by the non-profit organization “Was hab’ ich?” gemeinnützige GmbH on behalf of the Federal Ministry of Health (BMG).

Further articles

Most hernias occur when part of the bowel or peritoneum pushes through a gap in the abdominal wall. Inguinal hernias are the most common type of hernia. It is mainly men who develop them.

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.

Where do inguinal hernias occur?

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.

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?).

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.

What is a hernia in medical terminology?

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), ...

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.

What is the term for a defect in the abdominal wall at the site of a previous operative incision?

An umbilical hernia occurs when contents protrude from the navel. Ventral/Incisional: A defect in the abdominal wall at the site of a previous operative incision. Diaphragmatic: A defect in the diaphragm (congenital or acquired) allows contents from the abdominal cavity to spill into the chest cavity.

What is the ICd code for a hernia?

The ICD code K40 is used to code Inguinal hernia. An inguinal hernia is a protrusion of abdominal-cavity contents through the inguinal canal. Symptoms are present in about 66% of affected people. This may include pain or discomfort especially with coughing, exercise, or bowel movements. Often it gets worse throughout the day ...

Which side of the body is most affected by an inguinal hernia?

Inguinal 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.

What is the ICD code for acute care?

K40 . 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 K40 is a non-billable code.

Which side of the body is the most affected by an inguinal hernia?

Inguinal 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. Specialty:

What is the ICD code for acute care?

K40.0. 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 K40.0 is a non-billable code.

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Review of Symptoms

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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. The hernia normally enlarges with increasing intra-abd…
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Look For Four Key Documentation Elements

  • When selecting ICD-10 codes for hernia, consider four documentation elements: 1. Type Clinicians identify hernias primarily by location or type. Common hernia types include: 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 hernias may be either direct …
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Code Categories

  • 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. To assign a code, you must know the location and laterality of the hernia, whet...
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Examples Build Coding Confidence

  • Example 1: A 78-year-old man presented with a two-day history of a painful mass in his right groin. Abdominal examination disclosed mild tenderness in the right lower quadrant. A 6 cm right inguinal mass was palpated that was non-reducible and exquisitely tender to palpation. At laparotomy, a large, edematous, inflamed femoral mass medial to the femoral vein was identifie…
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