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Home/Diagnosis/ICD-10 Coding for Hernia

ICD-10 Coding for Hernia

K40.90
K43.2

Complete ICD-10-CM coding and documentation guide for icd-10 coding for hernia includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Inguinal Hernia
Femoral Hernia
Umbilical Hernia
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Key Information: ICD-10 Coding for Hernia

Essential facts and insights about ICD-10 Coding for Hernia

Use ICD-10 code K40.90 for unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent

Billable Code
K40.90
Billable

Diagnostic Criteria

  • • Presence of a unilateral inguinal bulge without previous surgical history

Applicable To

  • • Unilateral inguinal hernia without obstruction or gangrene

Important Notes

  • • Ensure laterality is documented to avoid misclassification.

Incisional hernia without obstruction or gangrene

Billable Code
K43.2
Billable

Applicable To

  • • Incisional hernia without obstruction or gangrene

Important Notes

  • • Ensure surgical history is documented to confirm incisional nature.
Frequently Asked Questions

How is a hernia coded in ICD-10?

Hernias are coded in ICD-10 using the K40-K46 range, with specific codes for types like inguinal, femoral, and incisional hernias. Accurate documentation of type, laterality, and complications is essential.

What documentation is needed for hernia coding?

Documentation should include hernia type, size, location, and any complications like obstruction or gangrene. Mesh use should also be detailed if applicable.

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