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Home/Diagnosis/ICD-10 Coding for Periumbilical Hernia

ICD-10 Coding for Periumbilical Hernia

K42.9
K42.0
K42.1

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

Also Known as:
Paraumbilical Hernia
Umbilical Hernia
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Key Information: ICD-10 Coding for Periumbilical Hernia

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

Use ICD-10 code K42.9 for umbilical hernia without obstruction or gangrene, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Umbilical hernia without obstruction or gangrene

Billable Code
K42.9
Billable

Diagnostic Criteria

clinical:
  • • Presence of a reducible hernia sac without bowel involvement.
documentation:
  • • Detailed description of hernia type and absence of complications.

Applicable To

  • • Paraumbilical hernia

Important Notes

  • • Ensure documentation specifies 'paraumbilical' or 'periumbilical' to avoid confusion with other hernia types.

Umbilical hernia with obstruction, without gangrene

Billable Code
K42.0
Billable

Important Notes

  • • Ensure obstruction is confirmed by imaging to avoid compliance issues.

Umbilical hernia with gangrene

Billable Code
K42.1
Billable

Important Notes

  • • Gangrene must be confirmed by clinical or surgical findings.
Ancillary Codes

Additional codes that may be used with this diagnosis

R10.84

Periumbilical pain

Use when pain is a significant symptom influencing treatment.

Frequently Asked Questions

What is the ICD-10 code for periumbilical hernia?

The ICD-10 code for a periumbilical hernia without obstruction or gangrene is K42.9. If complications like obstruction or gangrene are present, use K42.0 or K42.1 respectively.

Are periumbilical and paraumbilical hernias the same?

Yes, periumbilical and paraumbilical hernias are considered the same in ICD-10 coding, both classified under code K42.9.

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