tci General Surgery Coding Alert - 2016 Issue 1

Reader Question: Understand Hernia Details for ICD-10 Code Selection

Question: Our surgeon met with a 57-year-old patient complaining of severe pain around the umbilical area. The patient reported that she had always had a bulge in this area, but that it had been enlarged for seven years since she had her last child. The surgeon examined the patient and reviewed findings from an abdominal ultrasound and x-ray to diagnose a strangulated umbilical hernia with gangrene. I’m still getting used to ICD-10, and would appreciate some help selecting the best diagnosis code. SuperCoder Subscriber Answer: The best code choice for the condition you described is K42.1 (Umbilical...

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