Umbilical Hernia. An umbilical hernia is an abnormal bulge that can be seen or felt at the umbilicus (belly button). This hernia develops when a portion of the lining of the abdomen, part of the intestine, and / or fluid from the abdomen, comes through the muscle of the abdominal wall. Umbilical hernias are common, occurring in 10 percent to 20 ...
Umbilical hernia
Symptoms of a strangulated umbilical hernia include:
An umbilical hernia creates a soft swelling or bulge near the navel. It occurs when part of the intestine protrudes through the umbilical opening in the abdominal muscles. Umbilical hernias in children are usually painless.
An incarcerated hernia is a part of the intestine or abdominal tissue that becomes trapped in the sac of a hernia—the bulge of soft tissue that pushes through a weak spot in the abdominal wall.
About periumbilical A periumbilical hernia is a common type of hernia that affects the area around your naval (belly button). If there is a weakness or hole around the naval, fatty tissue or parts of your bowel may push through and create a lump.
A paraumbilical (or umbilical) hernia is a hole in the connective tissue of the abdominal wall in the midline with close approximation to the umbilicus. If the hole is large enough there can be protrusion of the abdominal contents, including omental fat and/or bowel.
If the contents of the hernia are not able to be reduced, the hernia is considered incarcerated. A strangulated hernia occurs when the hernia contents are ischemic due to a compromised blood supply.
An incarcerated hernia or obstructed hernia is one in which the tissues have become trapped. This is also called a non-reducible hernia and is very serious because it may lead to intestine or tissue strangulation.
A direct or true umbilical hernia consists of a symmetric protrusion through the umbilical ring and is seen in neonates or infants. Indirect umbilical (paraumbilical) hernias protrude above or below the umbilicus and are the most common type of umbilical hernia in adults.
An umbilical hernia is a type of hernia where intra-abdominal contents (usually fat but occasionally intestine) protrude through a defect in the abdominal muscles where the umbilical cord once passed. Umbilical hernias are most commonly found in infants, but they can also be found in adults.
Paraumbilical hernias usually develop later in life and are often caused by acquired abdomen openings linked to intra-abdominal pressure from carrying excess body weight, ascites (a buildup of fluid between the abdominal lining and the organs), cancer or other intra-abdominal malignancy, or multiple pregnancies.
What is periumbilical pain? Periumbilical pain is a type of abdominal pain that is localized in the region around or behind your belly button. This part of your abdomen is referred to as the umbilical region. It contains parts of your stomach, small and large intestine, and your pancreas.
A para-umbilical hernia is a “belly button” hernia that affects adults. They are very common and occur through the natural weakness of the abdominal wall at the umbilicus. They can occur at any age in adulthood. They do however tend to be more common in older men and more likely in people who are overweight.
Hernias are usually diagnosed during a physical examination by a health care provider. The provider will look and feel for a bulge or swelling in the belly button area. The swelling may be more noticeable when a baby cries and may get smaller or go away when a baby relaxes or rests on its back.
Umbilical hernia without obstruction or gangrene 1 K42.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM K42.9 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of K42.9 - other international versions of ICD-10 K42.9 may differ.
The 2022 edition of ICD-10-CM K42.9 became effective on October 1, 2021.
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.
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.
The 2022 edition of ICD-10-CM K46.9 became effective on October 1, 2021.
The 2022 edition of ICD-10-CM P83.81 became effective on October 1, 2021.
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code ( P83.81) and the excluded code together.
The two main root operations for hernia repair are Q-Repair, which is assigned when mesh is not used, and U-Supplement, which is assigned when mesh is used. Note that a code using root operation U-Supplement stands by itself as a hernia repair procedure and no additional code is required or assigned to capture the repair or use of mesh.
For hernia repair without mesh, Z-No Device is used. For hernia repair with mesh, mesh is considered a device. There are three types of mesh: 1) Most mesh is made of synthetic materials such as polypropylene, polyester, and PTFE; 2) Some mesh is bioengineered from donated human tissue, such as from cadavers, and; 3) Some mesh is bioengineered from animal tissue such as bovine and porcine tissue (eg, PermacolTM Surgical Implant). Although there are three types of mesh, there are currently only two options for the device value. Synthetic meshes use J-Synthetic Substitute. Meshes made of either human and animal tissues currently use K-Nonautologous Tissue.5
49566 Repair recurrent incisional or ventral hernia; incarcerated or strangulated
43282 Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantationof mesh
Abdominal wall repair is not coded separately when an associated procedure is performed on an internal organ, because procedural steps necessary to close an operative site are considered integral.
In general, abdominal wall repair uses the same coding principles and the same code values as hernia repair. An abdominal wall repair is differentiated from a hernia repair by the ICD-10-CM diagnosis codes, not necessarily by the ICD-10-PCS procedure codes.