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Home/Diagnosis/ICD-10 Coding for Groin Hernia

ICD-10 Coding for Groin Hernia

K40.90
K40.31

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

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

Essential facts and insights about ICD-10 Coding for Groin 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 reducible groin bulge without symptoms of obstruction

Applicable To

  • • Unilateral inguinal hernia without obstruction

Important Notes

  • • Ensure documentation specifies whether the hernia is reducible or incarcerated.

Incarcerated recurrent inguinal hernia

Billable Code
K40.31
Billable

Diagnostic Criteria

  • • Physical examination indicating non-reducible hernia
  • • History of previous hernia repair

Applicable To

  • • Recurrent inguinal hernia with incarceration

Important Notes

  • • Document the history of prior hernia repair and current incarceration status.
Ancillary Codes

Additional codes that may be used with this diagnosis

K56.7

Ileus, unspecified

Use if there is associated bowel obstruction.

K56.69

Other intestinal obstruction

Use if there is associated bowel obstruction.

Frequently Asked Questions

What is the ICD-10 code for a groin hernia?

The ICD-10 code for a unilateral inguinal hernia without obstruction or gangrene is K40.90. For bilateral cases, use K40.20 or K40.21 depending on obstruction status.

How do you document a hernia repair?

Document the type and laterality of the hernia, surgical approach, and whether mesh was used. Include any complications or additional procedures performed.

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