Abdominal hernia, NOS: Difference between revisions

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m (pulled explanation out into Template:ICD10 Guideline Hernia type vs complication so it can be consistently applied to all the related dxs)
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== Additional Info ==
== Additional Info ==
*This code represents an abdominal hernia that's not either an '''[[Inguinal hernia]]''' or a '''[[Hiatus (diaphragmatic) hernia]]''' -- i.e. it's the wastebasket code for the TYPE of abdominal hernia, and thus includes:  femoral hernia, umbilical hernia, and ventral hernia
Excludes:  
**Here the "NOS" is referring to the TYPE of abdominal hernia, i.e. it's not inguinal or hiatus.
* [[Hiatus (diaphragmatic) hernia]]
*If in addition, the hernia is complicated, then ALSO use one of the following:
* [[Inguinal hernia]]
**[[Abdominal hernia, with gangrene]]
**[[Abdominal hernia, with obstruction, incarceration or strangulation]]
*'''Excludes''':
**'''[[Inguinal hernia]]'''
**'''[[Hiatus (diaphragmatic) hernia]]'''
 
{{Discuss | who = Allan | question =
* This and the related dxs all have the same includes ( I took out inuguinal because we have [[Inguinal hernia]]); does that make sense? Ttenbergen 20:20, 2018 August 6 (CDT)
 
* Does "NOS" in this case just mean it was not clear whther obstructed, gangrenous or neither? Or is it to be used only for neither? Or is it supposed to be used for "neither" at all? Ttenbergen 20:20, 2018 August 6 (CDT)
*AG REPLY --- Not exactly Tina.  The intent is as follows
**First identify the type of hernia (i.e. location) from among: [[Hiatus (diaphragmatic) hernia]], [[Inguinal hernia]], and [[Abdominal hernia, NOS]] where this latter is just the wastebasket for the TYPE of hernia, i.e. that NOS refers to the type
**THEN for ANY of these types (inguinal, hiatus, or abdominal NOS, identify the presence of a complication using one of [[Abdominal hernia, with gangrene]] or [[Abdominal hernia, with obstruction, incarceration or strangulation]]
**Thus, if there's an incarcerated abd hernia that's not inguinal or diaphragmatic, you'd combine: [[Abdominal hernia, NOS]] with  [[Abdominal hernia, with obstruction, incarceration or strangulation]]
*Tina, also note I've made changes to all of those other abd hernia codes (including inguinal and diaphragmatic) to explain all this better. and that it'd be good if the 2 codes for complications K46.0 and K46.1, were adjusted so that they can't be used alone -- i.e. need to be used WITH any one of the 3 type of "Abd Hernia Type" codes as above.}}


Includes:  
Includes:  
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* umbilical hernia
* umbilical hernia
* ventral hernia
* ventral hernia
{{ICD10 Guideline Hernia type vs complication}}


== Alternate ICD10s to consider coding instead or in addition ==
== Alternate ICD10s to consider coding instead or in addition ==

Revision as of 16:16, 2018 September 6

ICD10 Diagnosis
Dx: Abdominal hernia, NOS
ICD10 code: K46.9
Pre-ICD10 counterpart: Hernia
Charlson/ALERT Scale: none
APACHE Como Component: none
APACHE Acute Component: none
Start Date:
Stop Date:
External ICD10 Documentation

This diagnosis is a part of ICD10 collection.

  • SMW
    • 2019-01-01
    • 2999-12-31
    • K46.9
  • Cargo


  • Categories
  • SMW
  • Cargo


  • Categories
  • SMW
  • Cargo


  • Categories

Additional Info

Excludes:

Includes:

  • femoral hernia
  • umbilical hernia
  • ventral hernia

Hernia guideline

  • SMW
  • Cargo


  • Categories
We have the following ICD10 codes for different types of abdominal Hernias:

and their potential complications:

A complication should be coded whenever it happens, but complication codes should only ever be coded as combined ICD10 codes with a hernia type.

examples   

Integrity Checks

Alternate ICD10s to consider coding instead or in addition

Hernia codes:

Candidate Combined ICD10 codes

Related CCI Codes

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