not present
Commercial Insurance | Plan Design, Medical Policies, Patient . ... | ICD-10-PCS CODE | RATEC | |
Commercial Insurance | Plan Design, Medical Policies, Patient . ... | ICD-10-PCS CODE | RATEC | MS-DRGB |
ANTERIOR ABDOMINAL WALL REPAIR WITH GRAF ... | ANTERIOR ABDOMINAL WALL REPAIR WITH GRAF ... | CODING | REIMBURSEMENT | |
Supplement; Abdominal wall; Open; Synthe ... | Supplement; Abdominal wall; Open; Synthe ... | 0WUF0JZ0WUF4JZ | 353, 354, 355 | $18,139; $10,388; $7,959 |
DIAPHRAGMATIC REPAIRA | CODING | REIMBURSEMENT |
You may not avoid a hiatal hernia entirely, but you can avoid making a hernia worse by:
Potential Complications
Hernia ( K40-K46) Unspecified abdominal hernia ( K46) K46.0 is a billable diagnosis code used to specify a medical diagnosis of unspecified abdominal hernia with obstruction, without gangrene. The code K46.0 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
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.
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 .
What is a ventral hernia? A ventral hernia is a bulge of tissues through an opening of weakness within your abdominal wall muscles. It can occur at any location on your abdominal wall. Many are called incisional hernias because they form at the healed site of past surgical incisions.
Other and unspecified ventral hernia with gangrene The 2022 edition of ICD-10-CM K43. 7 became effective on October 1, 2021.
The goal of ventral hernia surgery is to repair the hole/defect in the abdominal wall so that the intestine and other abdominal tissue cannot bulge through the wall again. The surgery often restores the tone and shape of the abdominal wall by repairing the hole and bringing the muscles back to their normal position.
Unspecified abdominal hernia without obstruction or gangrene K46. 9 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 K46. 9 became effective on October 1, 2021.
Unlike ventral hernias, which protrude through the abdominal wall, a hiatal hernia occurs when the upper part of the stomach pushes up into the chest through a small opening in the diaphragm, the muscle that separates the abdomen from the chest.
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.
A ventral hernia is a bulge of tissue (internal fat called omentum, pre-peritoneal fat or intestines) through an opening in the muscles in the “ventral” or anterior part of the abdomen. When it occurs in the midline above the belly button is called epigastric hernia.
A recurrent incisional hernia occurs following a surgical procedure in the abdomen, which can cause a weakening in your abdominal wall. This can especially occur when the original repair was potentially done under tension and/or without a synthetic material to buttress the surgery.
The procedure involves the placement of a mesh inside the abdomen without abdominal wall reconstruction. The mesh is fixed with sutures, staples, or tacks. The recurrence rate of laparoscopic repair is reported as equal to or less than that of open repair.
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
There is a separate, specific code — 49525 Repair inguinal hernia, sliding, any age — for the repair of a reducible, sliding inguinal hernia. If the hernia is incarcerated or strangulated, however, 49525 does not apply. Instead, you would revert to 49496, 49501, 49507, or 49521, as appropriate. 8.
Inguinal: occurs when abdominal contents, such as fatty or intestinal tissue, bulge through a weak area in the inner groin muscle of the lower abdominal wall at the inguinal canal. This is the most common type of hernia, accounting for 75 percent of all hernias.
If mesh implantation is performed with any other open hernia repair (inguinal, epigastric, umbilical, femoral), do not report +49568 because those codes include mesh placement. Mesh is also included as a part of laparoscopic repair. Do not report +49568 with laparoscopic repair codes 49652–49657.
Surgery is directed at permanently closing off the orifice through which the abdominal contents protrude, after returning them to the abdominal cavity. Usually, an incision is made over the hernia and the hernia sac is dissected from any surrounding structures.
This abnormal protrusion occurs due to a weak spot in the surrounding muscle or connective tissue (fascia). In some cases, only an empty sac protrudes through, but if the defect is large enough, the hernia sac can contain abdominal contents, typically part of the intestine.
Since there is no separate code for implanted mesh removal, use unlisted procedure code 49999 Unlisted procedure, abdomen, peritoneum and omentum to report the service.
Depending on the size of the hernia sac, it may be ligated and resected. The muscle tissue is repaired, and the incision is closed. A mesh or other prosthesis may be used for reinforcement of the muscle wall. There are many types of hernias.