Abdominal hernia, NOS: Difference between revisions

Revision as of 15:16, 6 September 2018

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	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

Additional Info

Excludes:

Includes:

femoral hernia
umbilical hernia
ventral hernia

Hernia guideline

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
you could have a Inguinal hernia without any complications you could have a Inguinal hernia with a complication of Abdominal hernia, with gangrene you could not have a Abdominal hernia, with gangrene without a combined code for a type of hernia

Integrity Checks

query check_hernia_type_vs_complication

Alternate ICD10s to consider coding instead or in addition

Hernia codes:
Abdominal hernia, with gangrene Abdominal hernia, with obstruction, incarceration or strangulation Hiatus (diaphragmatic) hernia Inguinal hernia

Candidate Combined ICD10 codes

Related CCI Codes

Skin	Trauma Abdominal trauma Burn Chemical burn Fracture Head trauma Head trauma (old) Joint/ligament trauma Lower limb trauma Muscles/tendon trauma Neck trauma Potential trauma Thoracic trauma Traumatic Amputation Traumatic fracture Upper limb trauma Vascular trauma	Renal/urinary Chronic kidney disease Nephritic syndrome Renal failure Renal/Urinary neoplasm Urinary tract infection	Infectious disease Antibiotic resistance Bacteria COVID Double duty pathogen Encephalitis Fungus Iatrogenic infection Infection requiring pathogen Infection with implied pathogen Influenza Intra-abdominal infection Lower respiratory tract infection Meningitis Non-specific pathogens Osteomyelitis Pathogens Pneumonia Potential infection Tuberculosis Upper respiratory tract infection Virus
ENT	Testing Imaging	Cardiovascular Aneurysm Aortic Aneurysm Arrhythmia Arterial thromboembolism Atherosclerosis Cardiac septum problem Cerebral Hemorrhage/Stroke Heart valve disease Hemorrhage Hypertension Hypotension Ischemia Ischemic gut Ischemic heart disease Myocardial Infarction Pulmonary embolism Pulmonary hypertension Vasculitis Venous thromboembolism	Hereditary/congenital
Eye	Mechanism Transportation mechanism	Neoplastic Benign neoplasm Endocrine neoplasm Female genital neoplasm Gastrointestinal neoplasm Heme/immunology neoplasm Leukemia Lymphoma Male genital neoplasm Metastasis Musculoskeletal/soft tissue neoplasm Neuro neoplasm Primary malignancy Renal/Urinary neoplasm Respiratory neoplasm Skin neoplasm	Heme/immunology Allergy Anemia Heme/immunology neoplasm Hemophilia Leukemia Thrombocytopenia
Misc Adverse effect Alcohol related Allergy Anesthetic related Antidepressant related Awaiting/delayed transfer COVID Cannabis related Cocaine related Decubitus ulcer Diagnosis implying death Exposure Fistula Hallucinogen related Has one Healthcare contact Hemorrhage Iatrogenic Metabolic/nutrition Non-traumatic fracture Observation Organ removal Ostomy Overdose Paralysis Past medical history Poisoning Psychoactive substance NOS related Radiation related Retired Code Rheumatic disease Sedative related Shock Solvent related Spine Stimulant related Transplant	Reproductive Abortion Breast disease Female genital neoplasm Male genital neoplasm Peripartum	Gastrointestinal Cirrhosis GI ulcer Gastroenteritis Gastrointestinal neoplasm Hepatitis Hernia Inflammatory Bowel Disease Intra-abdominal infection Ischemic gut Liver disease Liver failure Pancreas disease Pancreatitis Peptic ulcer	Musculoskeletal/soft tissue Hernia Joint/ligament trauma Muscle problem Muscles/tendon trauma Musculoskeletal/soft tissue neoplasm Osteomyelitis
Psych Addiction Antidepressant related Delirium Dementia Hallucinogen related Opioid related Psychoactive substance NOS related Sedative related Solvent related Stimulant related Withdrawal	Respiratory Asthma Influenza Inhalation Lower respiratory tract infection Pleural abnormalities Pneumoconiosis Pneumonia Pneumothorax Pulmonary embolism Respiratory neoplasm Sleep disorder Tracheostomy Upper respiratory tract infection	Poisoning Acute intoxication Addiction Opioid related Overdose Poisoning by non-pharmaceuticals Stimulant related Withdrawal
Neuro Cerebral Hemorrhage/Stroke Encephalitis Encephalopathy Meningitis Neuro neoplasm Paralysis	Symptom/Sign Pain	Endocrine disorder Adrenal Insufficiency Diabetes Endocrine neoplasm Metabolic/nutrition

Show all ICD10 Subcategories

ICD10 Categories: ANCA-associated Vasculitis (AAV), Abdominal trauma, Abortion, Acute intoxication, Addiction, Adrenal Insufficiency, Adverse effect, Alcohol related, Allergy, Anemia, Anesthetic related, Aneurysm, Antibiotic resistance, Antidepressant related, Aortic Aneurysm, Arrhythmia, Arterial thromboembolism, Asthma, Atherosclerosis, Awaiting/delayed transfer, Bacteria, Benign neoplasm, Breast disease, Burn, COVID, Cannabis related, Cardiac septum problem, Cardiovascular, Cerebral Hemorrhage/Stroke, Chemical burn, Chronic kidney disease, Cirrhosis, Cocaine related, Decubitus ulcer, Delirium, Dementia, Diabetes, Diagnosis implying death, Double duty pathogen, ENT, Encephalitis, Encephalopathy, Endocrine disorder, Endocrine neoplasm, Exposure, Eye, Female genital neoplasm, Fistula, Fracture, Fungus, GI ulcer, Gastroenteritis, Gastrointestinal, Gastrointestinal neoplasm, Hallucinogen related, Has one, Head trauma, Head trauma (old), Healthcare contact, Heart valve disease, Heme/immunology, Heme/immunology neoplasm, Hemophilia, Hemorrhage, Hepatitis, Hereditary/congenital, Hernia, Hypertension, Hypotension, Iatrogenic, Iatrogenic infection, Iatrogenic mechanism, Imaging, Infection requiring pathogen, Infection with implied pathogen, Infectious disease, Inflammatory Bowel Disease, Influenza, Inhalation, Intra-abdominal infection, Ischemia, Ischemic gut, Ischemic heart disease, Joint/ligament trauma, Leukemia, Liver disease, Liver failure, Lower limb trauma, Lower respiratory tract infection, Lymphoma, Male genital neoplasm, Mechanism, Meningitis, Metabolic/nutrition, Metastasis, Misc, Muscle problem, Muscles/tendon trauma, Musculoskeletal/soft tissue, Musculoskeletal/soft tissue neoplasm... further results

@@ Line 12: / Line 12: @@
 == 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:
@@ Line 35: / Line 20: @@
 * umbilical hernia
 * ventral hernia
+{{ICD10 Guideline Hernia type vs complication}}
 == Alternate ICD10s to consider coding instead or in addition ==

Abdominal hernia, NOS: Difference between revisions

Revision as of 15:16, 6 September 2018

Contents

Additional Info

Hernia guideline

Integrity Checks

Alternate ICD10s to consider coding instead or in addition

Candidate Combined ICD10 codes

Related CCI Codes

Related Articles

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Abdominal hernia, NOS: Difference between revisions

Revision as of 15:16, 6 September 2018

Additional Info

Hernia guideline

Integrity Checks

Alternate ICD10s to consider coding instead or in addition

Candidate Combined ICD10 codes

Related CCI Codes

Related Articles

Navigation menu

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