icd 10 diagnosis code for inguinal hernia

by Angelo Wolff 7 min read

ICD-10 code K40 for Inguinal hernia is a medical classification as listed by WHO under the range - Diseases of the digestive system .

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

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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 code for left inguinal hernia?

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

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

ICD-10-CM Code for Unilateral inguinal hernia, without obstruction or gangrene, recurrent K40. 91.

What is the diagnosis of inguinal hernia?

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

ICD-10-CM Code for Bilateral inguinal hernia, without obstruction or gangrene, recurrent K40. 21.

What is an indirect inguinal hernia?

Indirect inguinal hernias are the most common type of groin hernia. Indirect inguinal hernias occur when abdominal content such as fat or bowel pushes down along the inguinal canal. What is the inguinal canal? It is the tunnel through which a man's vas deferens and testicular vessels travel down into the scrotum.

What is the CPT code for inguinal hernia repair?

Hernia repairCPT codeDescriptor49507Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated49520Repair recurrent inguinal hernia, any age; reducible49521Repair recurrent inguinal hernia, any age; incarcerated or strangulated49525Repair inguinal hernia, sliding, any age39 more rows•Apr 1, 2017

What are the types of inguinal hernia?

Inguinal hernias come in two types:Indirect inguinal hernia. This is the most common type, and a type of hernia that you may be born with. ... Direct inguinal hernia. This type of hernia is caused by weakening of your abdominal muscles over time and is more likely to be seen in adults.

What are the 3 types of hernias?

Hernias are less common in women than in men, however hernias in women can cause chronic pelvic pain, and hernia repair is very effective at eliminating the cause of this pain. The main types of hernias that can develop in women are – indirect inguinal hernias, femoral hernias and umbilical hernias.

What is the difference between an indirect and direct inguinal hernia?

A direct inguinal hernia shows a bulge from the posterior wall of the inguinal canal, whereas an indirect inguinal hernia passes through the inguinal canal or the groin. In the indirect inguinal canal, it is difficult to feel the defect as it occurs behind the external oblique muscle fibers.

What are bilateral inguinal hernias?

A bilateral (meaning both sides) hernia is a type of inguinal or groin hernia that occurs in both sides of the lower abdomen. Hernias may not be painful when they first occur. However if left unattended the weak spot can grow and simple acts like coughing, sneezing or lifting heavy objects can be painful.

Where is your inguinal?

groinThe inguinal ligament is a set of two narrow bands in the inguinal area of the body (the groin). The groin is the fold where the bottom of the abdomen meets the inner thighs. The inguinal ligament connects the oblique muscles in the abdomen to the pelvis.

What does Inguinodynia mean?

Inguinodynia is pain or discomfort lasting greater than 3 months after surgery. Randomized trials of laparoscopic vs open inguinal hernia repair have demonstrated similar recurrence rates with the use of mesh and have identified that chronic groin pain surpasses recurrence and is an important measure of success.

How is a hernia diagnosed?

A hernia diagnosis is typically based on your history of symptoms, a physical exam, and possibly imaging tests. During your exam, your doctor will typically feel around your groin and testicles, and ask you to cough. This is done because standing and coughing or straining usually make a hernia more prominent.

How do you diagnose an abdominal hernia?

In most cases, your doctor will be able to determine whether you are in fact suffering from a hernia simply by looking and by gently palpating the affected area. If for some reason a diagnosis isn't immediately apparent, your doctor may decide to order an imaging test, such as an abdominal ultrasound, CT scan, or MRI.

What are the first signs of a hernia?

Signs and Symptoms of a HerniaAn obvious swelling beneath the skin of the abdomen or the groin. ... A heavy feeling in the abdomen that sometimes comes with constipation or blood in the stool.Discomfort in the abdomen or groin when lifting or bending over.A burning or aching sensation at the bulge.More items...

Does ultrasound show hernia?

Sometimes a hernia cannot be diagnosed through a physical exam alone, and other diagnostic tests are needed. Some examples of these include: Ultrasound.

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.

What is abdominal hernia?

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.

What is a hernia with both gangrene and obstruction?

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.

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.

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