Find comprehensive information on incarcerated ventral hernia, including clinical documentation tips, ICD-10-CM diagnosis codes (K43), CPT repair codes, and healthcare guidelines. Learn about symptoms, complications, and treatment options for incarcerated hernias. This resource is designed for physicians, coders, and healthcare professionals seeking accurate and up-to-date information on ventral hernia incarceration. Explore best practices for documenting incarcerated ventral hernias and ensure proper coding for reimbursement.
Also known as
Hernia
Covers various types of hernias, including ventral hernias.
Ventral hernia
Specifically designates ventral hernias, excluding umbilical.
Incarcerated ventral hernia
Identifies ventral hernias that are incarcerated or obstructed.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the incarcerated ventral hernia reducible?
Yes
Code K43.1, Incarcerated ventral hernia, reducible
No
Is there gangrene or obstruction?
When to use each related code
Description |
---|
Incarcerated ventral hernia |
Strangulated ventral hernia |
Reducible ventral hernia |
Coding ventral hernia without specifying location (e.g., epigastric, umbilical) leads to inaccurate DRG assignment and claim denials. CDI crucial for clarification.
Miscoding incarceration as obstruction or vice versa impacts reimbursement. Audits focus on documentation supporting the specific diagnosis. CDI queries essential.
Failing to code associated complications (e.g., gangrene, perforation) understates severity. Coding audits reveal these missed opportunities. CDI improves capture.
Patient presents with complaints consistent with an incarcerated ventral hernia. Symptoms include localized abdominal pain, a palpable bulge that cannot be reduced manually, nausea, and vomiting. The patient reports the hernia became irreducible [ timeframe - e.g., earlier today, two days ago] and the pain progressively worsened. Physical examination reveals a tense, tender, and non-reducible ventral hernia at the [ location - e.g., umbilical, epigastric, incisional] site. Bowel sounds are [ present/absent/hyperactive/hypoactive]. Signs of intestinal obstruction such as abdominal distension, high-pitched bowel sounds, or obstipation may be present. Differential diagnosis includes other causes of abdominal pain such as bowel obstruction, abdominal wall abscess, and soft tissue masses. Computed tomography (CT) scan of the abdomen and pelvis with intravenous contrast is ordered to evaluate the contents of the hernia sac, assess for bowel obstruction, and rule out strangulation. Surgical consultation is obtained for definitive management of the incarcerated ventral hernia. The patient's condition is explained, and the risks and benefits of surgical repair are discussed. Informed consent is obtained for hernia repair. The patient is admitted for observation and preoperative management, including intravenous fluids, pain control, and bowel rest. Preoperative labs are drawn. The diagnosis of incarcerated ventral hernia is made based on clinical findings and imaging results. ICD-10 code K43.1 is assigned. CPT codes for the surgical repair will be determined based on the operative approach and findings.