Hernia Repair ICD-10-CM Codes

What ICD-10 Codes are Used for Hernia Repair?

Hernia repair procedures, necessary to correct hernias of various types, are documented using specific Hernia Repair ICD codes. Here are ten commonly used codes for this condition, along with brief clinical descriptions:

K40.90 - Unilateral inguinal hernia, without obstruction or gangrene: This code is used when an inguinal hernia, which occurs in the groin area, is repaired without complications such as obstruction or tissue death.

K40.91 - Unilateral inguinal hernia, with obstruction, without gangrene: Applied when an inguinal hernia repair involves correcting an obstruction but not gangrene.

K40.92 - Unilateral inguinal hernia, with gangrene: Used for inguinal hernia repairs when gangrene is present.

K41.90 - Bilateral inguinal hernia, without obstruction or gangrene: Similar to K40.90 but for bilateral inguinal hernia repairs without complications.

K41.91 - Bilateral inguinal hernia, with obstruction, without gangrene: Applied for bilateral inguinal hernia repairs involving obstruction but not gangrene.

K41.92 - Bilateral inguinal hernia, with gangrene: Used when bilateral inguinal hernia repairs involve gangrene.

K42.90 - Unilateral femoral hernia, without obstruction or gangrene: For repairs of femoral hernias, which occur lower in the groin area, without complications.

K42.91 - Unilateral femoral hernia, with obstruction, without gangrene: Applied when femoral hernia repair involves obstruction but not gangrene.

K42.92 - Unilateral femoral hernia, with gangrene: Used for femoral hernia repairs when gangrene is present.

K43.9 - Ventral hernia, unspecified, without obstruction or gangrene: When repairing unspecified ventral hernias without complications.

Which Sacral Pain ICD Codes are Billable?

The billable status of the mentioned ICD-10 codes for Hernia Repair varies:

K40.90 - Unilateral inguinal hernia, without obstruction or gangrene: Yes, billable. Costs associated with the repair of an inguinal hernia without complications can be claimed.

K40.91 - Unilateral inguinal hernia, with obstruction, without gangrene: Yes, billable. Hernia repair with obstruction but without gangrene is eligible for reimbursement.

K40.92 - Unilateral inguinal hernia, with gangrene: Yes, billable. Repairing inguinal hernias with gangrene allows for medical expenses to be claimed.

K41.90 - Bilateral inguinal hernia, without obstruction or gangrene: Yes, billable. Costs related to the repair of bilateral inguinal hernias without complications can be claimed.

‍K41.91 - Bilateral inguinal hernia, with obstruction, without gangrene: Yes, billable. Hernia repair involving block in both sides, but not gangrene, can be reimbursed.

K41.92 - Bilateral inguinal hernia, with gangrene: Yes, billable. Repairing bilateral inguinal hernias with gangrene allows for medical expenses to be claimed.

‍K42.90 - Unilateral femoral hernia, without obstruction or gangrene: Yes, billable. Costs associated with the repair of a unilateral femoral hernia without complications can be claimed.

K42.91 - Unilateral femoral hernia, with obstruction, without gangrene: Yes, billable. Hernia repair with obstruction but without gangrene in the femoral area is eligible for reimbursement.

K42.92 - Unilateral femoral hernia, with gangrene: Yes, billable. Repairing unilateral femoral hernias with gangrene allows for medical expenses to be claimed.

K43.9 - Ventral hernia, unspecified, without obstruction or gangrene: Yes, billable. Costs related to the repair of unspecified ventral hernias without complications can be claimed.

Clinical Information

• Hernia repair is a surgical procedure to correct a hernia, which is the protrusion of an organ or tissue through an opening or weak spot in the muscle or tissue that usually contains it.
• Hernias can occur in various body areas, with inguinal (groin) and ventral (abdominal wall) hernias being common.
• The surgical approach may involve open or laparoscopic (minimally invasive) hernia repair.
• Before surgery, patients are typically assessed for any underlying health conditions that may affect the surgical outcome.
• During the procedure, the herniated tissue is pushed back into its proper place, and the weakened muscle or tissue is repaired.
• In some cases, a synthetic mesh may reinforce the repair and reduce the risk of recurrence.
• Patients are usually placed under general anesthesia or, in some cases, local anesthesia with sedation.
• Recovery time varies but often involves a period of restricted activity and follow-up appointments.
• Potential complications include infection, recurrence, or chronic pain, which should be monitored and managed post-surgery.
• Patient education is essential for post-operative care, including wound care, pain management, and activity restrictions.
• Hernia repair is generally a safe and effective procedure with a low risk of complications when performed by skilled healthcare practitioners.

Synonyms Include

• Hernia Surgery
• Hernia Correction
• Herniorrhaphy
• Hernioplasty
• Abdominal Wall Repair