what is the icd 10 cm code for repair of direct inguinal hernia

by Gerry Dicki 4 min read

ICD-10-CM Code for Inguinal hernia K40.

What is the diagnosis code for hernia?

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.

What is the ICD - 9 code for hernia repair?

Unilateral Repair Of Inguinal Hernia, Not Otherwise Specified. 53.00 is a specific code and is valid to identify a procedure. 2012 ICD-9-CM Procedure Code 53.01. Other And Open Repair Of Direct Inguinal Hernia. 53.01 is a specific code and is valid to identify a procedure. 2012 ICD-9-CM Procedure Code 53.02.

What is the CPT code for left recurring inguinal hernia?

  • K40.0 – Bilateral inguinal hernia, with obstruction, without gangrene
  • K40.1 – Bilateral inguinal hernia, with gangrene
  • K40.2 – Bilateral inguinal hernia, without obstruction or gangrene
  • K40.3 – Unilateral inguinal hernia, with obstruction, without gangrene
  • K40.4 – Unilateral inguinal hernia, with gangrene

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What is the ICD code of hernia postoperative complication?

  • T80 Complications following infusion, transfusion and therapeutic injection
  • T81 Complications of procedures, not elsewhere classified
  • T82 Complications of cardiac and vascular prosthetic devices, implants and grafts
  • T83 Complications of genitourinary prosthetic devices, implants and grafts

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What is the ICD-10 code for hernia repair?

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.

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

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

What is the ICD code for inguinal hernia?

3 Unilateral or unspecified inguinal hernia, with obstruction, without gangrene.

What is the CPT code for open inguinal hernia repair?

For inguinal hernia repair (CPT code 49505), the surgeon may use an ilioinguinal or iliohypogastric nerve block (CPT 64425). In this case, the nerve block is not reported separately and is included in the surgical procedure.

What is the ICD-10 code for K40 90?

ICD-10 code: K40. 90 Unilateral or unspecified inguinal hernia, without obstruction or gangrene Not specified as recurrent hernia.

What K57 92?

ICD-10 code: K57. 92 Diverticulitis of intestine, part unspecified, without perforation, abscess or bleeding.

What is the ICD 10 code for inguinal pain?

2022 ICD-10-CM Diagnosis Code R10. 2: Pelvic and perineal pain.

What is a incarcerated inguinal hernia?

An incarcerated inguinal hernia is a hernia that becomes stuck in the groin or scrotum and cannot be massaged back into the abdomen. An incarcerated hernia is caused by swelling and can lead to a strangulated hernia, in which the blood supply to the incarcerated small intestine is jeopardized.

What is Herniorrhaphy?

Overview. A herniorrhaphy refers to the surgical repair of a hernia, in which a surgeon repairs the weakness in your abdominal wall. A hernia occurs when a weak area in the muscles of your abdominal wall allows an internal part of your body to push through.

What is the CPT code for internal hernia repair?

By contrast, an “internal” hernia is a herniation into the abdominal cavity. To report a laparoscopic “internal” hernia repair procedure, code 44238, Unlisted laparoscopy procedure, intestine (except rectum), should be reported.

How are hernia repairs are often categorized?

In general, hernia surgeries are classified as herniorrhaphy or hernioplasty. Hernia repairs are day surgeries, so people go home a few hours afterward. Hernia surgeries are considered fairly safe and effective.

What is the CPT code 49585?

Answer: Repair of an umbilical hernia via an open approach is coded as 49585. Mesh placement may not be reported separately. Per CPT, mesh placement is only reported separately with repair of open Incisional hernias.

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 can you do for a groin hernia?

Surgery is the only way to fix an inguinal hernia. The doctor will push the bulging tissue back inside and strengthen your abdominal wall with stitches and perhaps mesh. They might be able to do this through a small cut in your belly using a special tool, a procedure called laparoscopy.

Does CPT code 49650 include mesh?

The code 49650 does not state that the mesh is included when performed, unlike the other codes in this catagory...is it understood that the mesh is included or should I be using another code to include mesh?

Does CPT 49650 need a modifier?

The payer allowed 49650-SG-RT and denied the 49650-SG-LT as too many units because bilateral procedures performed in an ASC or in Outpatient Setting, according to Medicare OPPS rules, require Modifier 50 to be used on one line on the claim form.”

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.

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