tci Part B Insider - 2010 Issue 38

Reader Questions: Hernia Terminology Key to Code Selection

Question: What is the difference between umbilical hernia and ventral hernia? What do I need to look for in the op report to decipher the correct code?Answer: The difference is the hernia location. As the name implies, an umbilical hernia occurs at the umbilicus (belly-button). "Ventral hernia" is a fairly general term that may describe a hernia  occurring at various abdominal sites, such as the site of a previous surgery (incisional hernia), above the umbilicus (epigastric hernia), or on the side of the abdomen (spigelian hernia).An abdominal hernia occurs when the peritoneal lining of the abdominal cavity...

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