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Home/Diagnosis/ICD-10 Coding for Unspecified Hernia

ICD-10 Coding for Unspecified Hernia

K46.0
K46.1
K46.9

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

Also Known as:
Abdominal Hernia NOS
Hernia NOS
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Key Information: ICD-10 Coding for Unspecified Hernia

Essential facts and insights about ICD-10 Coding for Unspecified Hernia

Use ICD-10 code K46.0 for unspecified abdominal hernia with obstruction, without gangrene, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unspecified abdominal hernia with obstruction, without gangrene

Billable Code
K46.0
Billable

Diagnostic Criteria

  • • Presence of bowel obstruction symptoms and imaging confirmation

Applicable To

  • • Abdominal hernia with obstruction

Important Notes

  • • Ensure obstruction is confirmed through clinical documentation or imaging.

Unspecified abdominal hernia with gangrene

Billable Code
K46.1
Billable

Diagnostic Criteria

    Applicable To

    • • Abdominal hernia with gangrene

    Important Notes

    • • Gangrene must be confirmed intraoperatively.

    Unspecified abdominal hernia without obstruction or gangrene

    Billable Code
    K46.9
    Billable

    Diagnostic Criteria

    • • Physical exam showing reducible hernia without signs of obstruction

    Applicable To

    • • Abdominal hernia NOS

    Important Notes

    • • Ensure no specific type or complication is documented.
    Ancillary Codes

    Additional codes that may be used with this diagnosis

    R10.9

    Abdominal pain, unspecified

    Use for documenting associated abdominal pain when obstruction is present.

    Frequently Asked Questions

    What is the ICD-10 code for an unspecified hernia?

    The ICD-10 code for an unspecified hernia without obstruction or gangrene is K46.9. Use K46.0 if obstruction is present, and K46.1 if gangrene is documented.

    When should K46.0 be used?

    Use K46.0 for unspecified abdominal hernias with confirmed obstruction but without gangrene, as documented in clinical notes or imaging.

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