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Home/Diagnosis/ICD-10 Coding for Spigelian Hernia

ICD-10 Coding for Spigelian Hernia

K43.6
K43.7

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

Also Known as:
Lateral Ventral Hernia
Interparietal Hernia
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Key Information: ICD-10 Coding for Spigelian Hernia

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

Use ICD-10 code K43.6 for other and unspecified ventral hernia with obstruction, without gangrene, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Other and unspecified ventral hernia with obstruction, without gangrene

Billable Code
K43.6
Billable

Diagnostic Criteria

clinical:
  • • Presence of hernia through Spigelian fascia with obstruction
documentation:
  • • CT or ultrasound confirmation of hernia location and obstruction

Applicable To

  • • Incarcerated Spigelian hernia without gangrene

Important Notes

  • • Ensure documentation specifies 'Spigelian fascia' or 'semilunar line' to differentiate from other ventral hernias.

Other and unspecified ventral hernia with gangrene

Billable Code
K43.7
Billable

Applicable To

  • • Spigelian hernia with gangrene

Important Notes

  • • Ensure gangrene is explicitly documented to justify this code.
Ancillary Codes

Additional codes that may be used with this diagnosis

CPT 49320

Diagnostic laparoscopy

Use if laparoscopy is performed to confirm the diagnosis.

CPT 76700

Ultrasound, abdominal, real time with image documentation

Use if ultrasound is used to confirm the hernia.

Frequently Asked Questions

What is the ICD-10 code for Spigelian hernia?

The ICD-10 code for Spigelian hernia with obstruction is K43.6, and with gangrene is K43.7.

How is a Spigelian hernia diagnosed?

Spigelian hernias are diagnosed using imaging techniques such as CT or ultrasound, which confirm the hernia's location through the Spigelian fascia.

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