what is the icd 10 code for paraesophageal hiatal hernia

by Ernesto Hagenes MD 4 min read

ICD-10-CM Diagnosis Code K40
K40.

What is the ICD 10 for GERD?

ICD-10-CM Code. K21.9. K21.9 is a valid billable ICD-10 diagnosis code for Gastro-esophageal reflux disease without esophagitis . It is found in the 2022 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2021 - Sep 30, 2022 . The use of ICD-10 code K21.9 can also apply to:

What is the ICD - 10 code for internal hernia?

Unspecified abdominal hernia without obstruction or gangrene 2016 2017 2018 2019 2020 2021 Billable/Specific Code K46.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM K46.9 became effective on October 1, 2020.

What type of Doctor can repair a hiatal hernia?

  • Is the doctor board certified? Gastrointestinal surgeons are certified first as general surgeons by the American Board of Surgery (ABS) and other medical boards. ...
  • Has the doctor been disciplined? ...
  • Has the doctor published any clinical research regarding hernia repair? ...
  • What do other patients say about the doctor? ...

What is the ICD 10 diagnosis code for?

The ICD-10-CM is a catalog of diagnosis codes used by medical professionals for medical coding and reporting in health care settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.

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What is paraesophageal hernia?

A paraesophageal hernia occurs when the lower part of the esophagus, the stomach, or other organs move up into the chest. The hiatus is an opening in the diaphragm (a muscle separating the chest from the abdomen) through which organs pass from the chest into the abdomen.

What is a Type 3 paraesophageal hernia?

Type III hiatal hernias are combined hernias in which the gastroesophageal junction is herniated above the diaphragm and the stomach is herniated alongside the esophagus. The majority of paraesophageal hernias are type III.

What is a Type 4 paraesophageal hernia?

A type IV paraesophageal hernia is a rare type of hiatal hernia characterized by intrathoracic herniation of abdominal viscera other than the stomach through the diaphragmatic hiatus.

What is the medical code for hiatal hernia?

The 2022 edition of ICD-10-CM K44. 0 became effective on October 1, 2021.

Is a hiatal hernia the same as a paraesophageal hernia?

A hiatal hernia occurs when part of the upper stomach moves into the chest area. A paraesophageal hernia refers to larger portions of the stomach or even other parts of the bowel that are pushed up into the chest.

What is the difference between a sliding and a paraesophageal hiatal hernia?

Mittal et al3 divided the hiatal hernia to 3 types, type 1 (sliding hiatal hernia) is when the esophagogastric junction (EGJ) and stomach is located above the diaphragmatic hiatus and the EGJ is located above the gastric fundus, type 2 (paraesophageal hiatal hernia) is when the EGJ is located at or below the level of ...

What is a large paraesophageal hernia?

Large paraesophageal hernias in which the stomach, bowel, or other organs are trapped in the chest may lead to problems with the blood supply to these organs, causing symptoms such as chest pain, palpitations, shortness of breath, vomiting, lack of bowel movements, and severe abdominal pain.

How serious is a paraesophageal hernia?

Symptomatic paraesophageal hernias are at higher risk for progressing to incarceration (stomach gets stuck resulting in obstruction) or ischemia (blood supply to the stomach is cut off) resulting in the need for emergency surgery.

What causes paraesophageal hernia?

Called a paraesophageal hernia, this uncommon condition is often related to conditions that lead to increased abdominal pressure such as chronic cough, severe constipation and obesity. Age over 50, excessive body weight and smoking are common risk factors for the disorder.

What is the ICD-10 code for K44 9?

ICD-10 code: K44. 9 Diaphragmatic hernia without obstruction or gangrene.

What is the ICD-10 code for gastroesophageal reflux?

ICD-10 code K21. 9 for Gastro-esophageal reflux disease without esophagitis is a medical classification as listed by WHO under the range - Diseases of the digestive system .

Where is a hiatal hernia located?

A hiatal hernia occurs when the upper part of your stomach bulges through your diaphragm into your chest cavity. A hiatal hernia occurs when the upper part of your stomach bulges through the large muscle separating your abdomen and chest (diaphragm).

What is a hernia in the chest called?

Hiatal hernia. Paraesophageal hernia. Clinical Information. A congenital or acquired weakness or opening in the diaphragm which allows abdominal contents to protrude into the chest cavity; congenital diaphragmatic hernias are caused when the embryonic diaphragm fails to fuse.

What is a hernia with both gangrene and obstruction?

Hernia with both gangrene and obstruction is classified to hernia with gangrene. A congenital or acquired weakness or opening in the diaphragm which allows abdominal contents to protrude into the chest cavity; congenital diaphragmatic hernias are caused when the embryonic diaphragm fails to fuse.

What is the cause of paraesophageal hiatal hernia?

A paraesophageal hiatal hernia (type IV) occurs when a structure other than the stomach, such as the large intestine, small intestine or omentum protrudes through the hiatus into the chest.

What is the term for the opening in the diaphragm where the distal esophagus

It may also be performed to treat associated hiatal hernias. Gastropexy. Suture of the esophagus or stomach to the hiatus for fixation. Hiatal Hernia. The hiatus is an opening in the diaphragm where the distal esophagus passes through to enter the abdomen.

What is a giant hernia?

A "giant" hiatal hernia is a subset of type III hiatal hernias and defined when greater than 50% of the stomach has protruded into the chest. The majority of paraesophageal hernias are type III. However, all types of paraesophageal hiatal hernias make up about 5% of hiatal hernias but account for most of the hiatal hernia complications.

What is the procedure called when the stomach is wrapped around the lower esophagus?

Also known as Nissen fundoplication, esophagogastric fundoplasty is a surgical procedure where the top of the stomach is wrapped around the lower esophagus; which reinforces the lower esophageal sphincter, reducing gastroesophageal reflux. It may also be performed to treat associated hiatal hernias. Gastropexy.

How many types of hernias are there?

There are four types of hiatal hernias: Type I. A hiatal hernia (type I) occurs when there is a protrusion of the upper part of the stomach and esophagus (gastroesophageal junction) into chest. This is the most common type (about 95%) of all hiatal hernias. This is also called a sliding hiatal hernia.

Is a hiatal hernia considered a paraesophageal hernia

Additionally, if less than 50% of the stomach is located above the diaphragm, this is still considerd a type I hiatal hernia and is not considered a paraesophageal hia tal hernia. Type II. A paraesophageal hiatal hernia (type II) occurs when the esophagus and gastroesophageal junction remain in their normal location but a part of the stomach, ...

Is a hernia asymptomatic or asymptomatic?

Hiatal hernias are very common, and most are asymptomatic and require no treatment. Symptomatic hiatal hernias are generally related to gastroesophageal reflux disease (GERD) or true paraesophageal types of hiatal hernia.

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