Umbilical hernia icd 10

Umbilical hernia icd 10 DEFAULT

What is the ICD 10 code for History of umbilical hernia?

Umbilical hernia with obstruction, without gangrene
0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM K42. 0 became effective on October 1, 2019. This is the American ICD-10-CM version of K42.

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Herein, what is the ICD 10 code for history of hernia?

Valid for Submission

ICD-10:Z87.19
Short Description:Personal history of other diseases of the digestive system
Long Description:Personal history of other diseases of the digestive system

Subsequently, question is, can z98 890 be a primary diagnosis? The code Z98. 890 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

Keeping this in view, what is the ICD 10 for umbilical hernia?

ICD-10-CM Code K42. 9 - Umbilical hernia without obstruction or gangrene.

What is the ICD 10 code for status post C section?

Maternal care for scar from previous cesarean deliveryO34. 21 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2020 edition of ICD-10-CM O34. 21 became effective on October 1, 2019.

Sours: https://askinglot.com/what-is-the-icd-10-code-for-history-of-umbilical-hernia

2022 ICD-10-CM Diagnosis Code K42.9

  1. ICD-10-CM Codes
  2. K00-K95 Diseases of the digestive system
  3. K40-K46 Hernia
  4. K42- Umbilical hernia
  5. 2022 ICD-10-CM Diagnosis Code K42.9

Umbilical hernia without obstruction or gangrene

    2016201720182019202020212022Billable/Specific Code
  • K42.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2022 edition of ICD-10-CM K42.9 became effective on October 1, 2021.
  • This is the American ICD-10-CM version of K42.9 - other international versions of ICD-10 K42.9 may differ.
The following code(s) above K42.9 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to K42.9:
  • K00-K95
    2022 ICD-10-CM Range K00-K95

    Diseases of the digestive system
    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

    Diseases of the digestive system
  • K40-K46
    2022 ICD-10-CM Range K40-K46

    Hernia
    Includes
    • acquired hernia
    • congenital [except diaphragmatic or hiatus] hernia
    • recurrent hernia
    Note
    • Hernia with both gangrene and obstruction is classified to hernia with gangrene.

    Hernia
  • K42
    ICD-10-CM Diagnosis Code K42

    Umbilical hernia

      2016201720182019202020212022Non-Billable/Non-Specific Code
    Umbilical hernia
Approximate SynonymsICD-10-CM K42.9 is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
  • 393 Other digestive system diagnoses with mcc
  • 394 Other digestive system diagnoses with cc
  • 395 Other digestive system diagnoses without cc/mcc

Convert K42.9 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • Hernia, hernial (acquired) (recurrent) K46.9
    ICD-10-CM Diagnosis Code K46.9

    Unspecified abdominal hernia without obstruction or gangrene

      2016201720182019202020212022Billable/Specific Code
ICD-10-CM Codes Adjacent To K42.9
K41.31 …… recurrent
K41.4 Unilateral femoral hernia, with gangrene
K41.40 …… not specified as recurrent
K41.41 …… recurrent
K41.9 Unilateral femoral hernia, without obstruction or gangrene
K41.90 …… not specified as recurrent
K41.91 …… recurrent
K42.0 Umbilical hernia with obstruction, without gangrene
K42.1 Umbilical hernia with gangrene
K42.9 Umbilical hernia without obstruction or gangrene
K43.0 Incisional hernia with obstruction, without gangrene
K43.1 Incisional hernia with gangrene
K43.2 Incisional hernia without obstruction or gangrene
K43.3 Parastomal hernia with obstruction, without gangrene
K43.4 Parastomal hernia with gangrene
K43.5 Parastomal hernia without obstruction or gangrene
K43.6 Other and unspecified ventral hernia with obstruction, without gangrene
K43.7 Other and unspecified ventral hernia with gangrene
K43.9 Ventral hernia without obstruction or gangrene

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Sours: https://www.icd10data.com/ICD10CM/Codes/K00-K95/K40-K46/K42-/K42.9
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K429 - ICD 10 Diagnosis Code - Umbilical hernia without obstruction or gangrene - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians


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Key Statistics Related to K429 - Umbilical hernia without obstruction or gangrene

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*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

K429 - Umbilical hernia without obstruction or gangrene - as a primary diagnosis codeK429 - Umbilical hernia without obstruction or gangrene - as a primary or secondary diagnosis code
OUTCOMES
Avg. LOS5.75
Readmission Rate (%)20.55
Unplanned Readmission Rate (%)13.4
Mortality Rate (%)
SNF Discharge Rate (%)
Home Discharge Rate (%)
PAYMENTS AND CHARGES
Total Medicare Payments
Payment Per Day
Payment Per Hospitalization
Total Medicare Charges
Avg. Charges
MARKET SIZING & INCIDENCE RATES
Total National Projected Hospitalizations - Annualized (Present on Admission - All)
Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All)
Total National Projected Hospitalizations - Annualized (Present on Admission - Yes)
Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes)
Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y)
Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y)
Total Medicare Hospitalizations after Exclusion

Top DRGs Associated With K429 - Umbilical hernia without obstruction or gangrene - as a primary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 354: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC) DRG 355: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) DRG 353: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG25,841
Total Hospitalizations with ICD K429 - Umbilical hernia without obstruction or gangrene649
DRG Share of Total Hospitalizations0.08
% of Total ICD K429 - Umbilical hernia without obstruction or gangrene in DRG28.35
Avg LOS at DRG4.57
Avg LOS with ICD K429 - Umbilical hernia without obstruction or gangrene3.82
Readmission Rate at DRG13.03
Readmission Rate with ICD K429 - Umbilical hernia without obstruction or gangrene13.67
Unplanned Readmission Rate at DRG8.76
Unplanned Readmission Rate with ICD K429 - Umbilical hernia without obstruction or gangrene11.92
Total Medicare payments at DRG$269,044,019
Total Medicare payments with ICD K429 - Umbilical hernia without obstruction or gangrene$6,780,469
Total Medicare payment per Day at DRG$2,278
Total Medicare payment per Day with ICD K429 - Umbilical hernia without obstruction or gangrene$2,736
Total Medicare payment per Hospitalization at DRG$10,412
Total Medicare payment per Hospitalization with ICD K429 - Umbilical hernia without obstruction or gangrene$10,448
Total Medicare Charges at DRG$1,525,494,373
Total Medicare Charges with ICD K429 - Umbilical hernia without obstruction or gangrene$34,205,317
Avg Charges at DRG$59,034
Avg Charges with ICD K429 - Umbilical hernia without obstruction or gangrene$52,705
Mortality Rate at DRG0.15
Mortality Rate with ICD K429 - Umbilical hernia without obstruction or gangreneNA
SNF Discharge Rate at DRG10.82
SNF Discharge Rate with ICD K429 - Umbilical hernia without obstruction or gangrene6.78
Home Discharge Rate at DRG68.14
Home Discharge Rate with ICD K429 - Umbilical hernia without obstruction or gangrene72.88

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC)DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)DRG 351: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)DRG 337: PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG39,606
Total Hospitalizations with ICD K429 - Umbilical hernia without obstruction or gangrene117
DRG Share of Total Hospitalizations0.12
% of Total ICD K429 - Umbilical hernia without obstruction or gangrene in DRG5.11
Avg LOS at DRG2.67
Avg LOS with ICD K429 - Umbilical hernia without obstruction or gangrene1.82
Readmission Rate at DRG13.3
Readmission Rate with ICD K429 - Umbilical hernia without obstruction or gangrene10.89
Unplanned Readmission Rate at DRG8.72
Unplanned Readmission Rate with ICD K429 - Umbilical hernia without obstruction or gangreneNA
Total Medicare payments at DRG$152,080,579
Total Medicare payments with ICD K429 - Umbilical hernia without obstruction or gangrene$412,271
Total Medicare payment per Day at DRG$1,436
Total Medicare payment per Day with ICD K429 - Umbilical hernia without obstruction or gangrene$1,936
Total Medicare payment per Hospitalization at DRG$3,840
Total Medicare payment per Hospitalization with ICD K429 - Umbilical hernia without obstruction or gangrene$3,524
Total Medicare Charges at DRG$921,857,813
Total Medicare Charges with ICD K429 - Umbilical hernia without obstruction or gangrene$2,188,713
Avg Charges at DRG$23,276
Avg Charges with ICD K429 - Umbilical hernia without obstruction or gangrene$18,707
Mortality Rate at DRG0.54
Mortality Rate with ICD K429 - Umbilical hernia without obstruction or gangreneNA
SNF Discharge Rate at DRG7.46
SNF Discharge Rate with ICD K429 - Umbilical hernia without obstruction or gangreneNA
Home Discharge Rate at DRG75.53
Home Discharge Rate with ICD K429 - Umbilical hernia without obstruction or gangrene77.78

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)DRG 352: INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)DRG 335: PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG106,782
Total Hospitalizations with ICD K429 - Umbilical hernia without obstruction or gangrene20
DRG Share of Total Hospitalizations0.32
% of Total ICD K429 - Umbilical hernia without obstruction or gangrene in DRG0.87
Avg LOS at DRG13.16
Avg LOS with ICD K429 - Umbilical hernia without obstruction or gangrene8.95
Readmission Rate at DRG30.28
Readmission Rate with ICD K429 - Umbilical hernia without obstruction or gangreneNA
Unplanned Readmission Rate at DRG15.8
Unplanned Readmission Rate with ICD K429 - Umbilical hernia without obstruction or gangreneNA
Total Medicare payments at DRG$3,545,118,598
Total Medicare payments with ICD K429 - Umbilical hernia without obstruction or gangrene$655,068
Total Medicare payment per Day at DRG$2,523
Total Medicare payment per Day with ICD K429 - Umbilical hernia without obstruction or gangrene$3,660
Total Medicare payment per Hospitalization at DRG$33,200
Total Medicare payment per Hospitalization with ICD K429 - Umbilical hernia without obstruction or gangrene$32,753
Total Medicare Charges at DRG$16,714,197,313
Total Medicare Charges with ICD K429 - Umbilical hernia without obstruction or gangrene$2,504,849
Avg Charges at DRG$156,526
Avg Charges with ICD K429 - Umbilical hernia without obstruction or gangrene$125,242
Mortality Rate at DRG9.42
Mortality Rate with ICD K429 - Umbilical hernia without obstruction or gangreneNA
SNF Discharge Rate at DRG28.14
SNF Discharge Rate with ICD K429 - Umbilical hernia without obstruction or gangreneNA
Home Discharge Rate at DRG22.53
Home Discharge Rate with ICD K429 - Umbilical hernia without obstruction or gangreneNA

Top 15 to 20 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 350: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG4,395
Total Hospitalizations with ICD K429 - Umbilical hernia without obstruction or gangrene14
DRG Share of Total Hospitalizations0.01
% of Total ICD K429 - Umbilical hernia without obstruction or gangrene in DRG0.61
Avg LOS at DRG6.77
Avg LOS with ICD K429 - Umbilical hernia without obstruction or gangrene2.5
Readmission Rate at DRG20.79
Readmission Rate with ICD K429 - Umbilical hernia without obstruction or gangreneNA
Unplanned Readmission Rate at DRG13.77
Unplanned Readmission Rate with ICD K429 - Umbilical hernia without obstruction or gangreneNA
Total Medicare payments at DRG$71,369,630
Total Medicare payments with ICD K429 - Umbilical hernia without obstruction or gangrene$173,043
Total Medicare payment per Day at DRG$2,400
Total Medicare payment per Day with ICD K429 - Umbilical hernia without obstruction or gangrene$4,944
Total Medicare payment per Hospitalization at DRG$16,239
Total Medicare payment per Hospitalization with ICD K429 - Umbilical hernia without obstruction or gangrene$12,360
Total Medicare Charges at DRG$366,971,131
Total Medicare Charges with ICD K429 - Umbilical hernia without obstruction or gangrene$915,351
Avg Charges at DRG$83,497
Avg Charges with ICD K429 - Umbilical hernia without obstruction or gangrene$65,382
Mortality Rate at DRG5.46
Mortality Rate with ICD K429 - Umbilical hernia without obstruction or gangreneNA
SNF Discharge Rate at DRG25.21
SNF Discharge Rate with ICD K429 - Umbilical hernia without obstruction or gangreneNA
Home Discharge Rate at DRG42.14
Home Discharge Rate with ICD K429 - Umbilical hernia without obstruction or gangrene92.86

Top Hospitals Associated With K429 - Umbilical hernia without obstruction or gangrene - as a primary diagnosis code

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Top DRGs Associated With K429 - Umbilical hernia without obstruction or gangrene - as a primary or secondary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)DRG 418: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC)DRG 419: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG169,880
Total Hospitalizations with ICD K429 - Umbilical hernia without obstruction or gangrene3,611
DRG Share of Total Hospitalizations0.52
% of Total ICD K429 - Umbilical hernia without obstruction or gangrene in DRG4.25
Avg LOS at DRG7.24
Avg LOS with ICD K429 - Umbilical hernia without obstruction or gangrene6.83
Readmission Rate at DRG16.58
Readmission Rate with ICD K429 - Umbilical hernia without obstruction or gangrene14.51
Unplanned Readmission Rate at DRG10.87
Unplanned Readmission Rate with ICD K429 - Umbilical hernia without obstruction or gangrene9.17
Total Medicare payments at DRG$2,683,693,576
Total Medicare payments with ICD K429 - Umbilical hernia without obstruction or gangrene$57,335,525
Total Medicare payment per Day at DRG$2,183
Total Medicare payment per Day with ICD K429 - Umbilical hernia without obstruction or gangrene$2,326
Total Medicare payment per Hospitalization at DRG$15,798
Total Medicare payment per Hospitalization with ICD K429 - Umbilical hernia without obstruction or gangrene$15,878
Total Medicare Charges at DRG$13,978,014,634
Total Medicare Charges with ICD K429 - Umbilical hernia without obstruction or gangrene$297,658,351
Avg Charges at DRG$82,282
Avg Charges with ICD K429 - Umbilical hernia without obstruction or gangrene$82,431
Mortality Rate at DRG0.35
Mortality Rate with ICD K429 - Umbilical hernia without obstruction or gangreneNA
SNF Discharge Rate at DRG14.58
SNF Discharge Rate with ICD K429 - Umbilical hernia without obstruction or gangrene13.15
Home Discharge Rate at DRG53.56
Home Discharge Rate with ICD K429 - Umbilical hernia without obstruction or gangrene58.74

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)DRG 417: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)DRG 354: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG82,061
Total Hospitalizations with ICD K429 - Umbilical hernia without obstruction or gangrene1,725
DRG Share of Total Hospitalizations0.25
% of Total ICD K429 - Umbilical hernia without obstruction or gangrene in DRG2.03
Avg LOS at DRG4.08
Avg LOS with ICD K429 - Umbilical hernia without obstruction or gangrene3.96
Readmission Rate at DRG9.45
Readmission Rate with ICD K429 - Umbilical hernia without obstruction or gangrene8.06
Unplanned Readmission Rate at DRG6.69
Unplanned Readmission Rate with ICD K429 - Umbilical hernia without obstruction or gangrene5.67
Total Medicare payments at DRG$818,105,892
Total Medicare payments with ICD K429 - Umbilical hernia without obstruction or gangrene$17,211,907
Total Medicare payment per Day at DRG$2,445
Total Medicare payment per Day with ICD K429 - Umbilical hernia without obstruction or gangrene$2,517
Total Medicare payment per Hospitalization at DRG$9,969
Total Medicare payment per Hospitalization with ICD K429 - Umbilical hernia without obstruction or gangrene$9,978
Total Medicare Charges at DRG$4,652,792,838
Total Medicare Charges with ICD K429 - Umbilical hernia without obstruction or gangrene$100,315,070
Avg Charges at DRG$56,699
Avg Charges with ICD K429 - Umbilical hernia without obstruction or gangrene$58,154
Mortality Rate at DRG0.07
Mortality Rate with ICD K429 - Umbilical hernia without obstruction or gangreneNA
SNF Discharge Rate at DRG4.97
SNF Discharge Rate with ICD K429 - Umbilical hernia without obstruction or gangrene3.01
Home Discharge Rate at DRG77.96
Home Discharge Rate with ICD K429 - Umbilical hernia without obstruction or gangrene82.96

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC)DRG 355: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG1,013,774
Total Hospitalizations with ICD K429 - Umbilical hernia without obstruction or gangrene1,523
DRG Share of Total Hospitalizations3.08
% of Total ICD K429 - Umbilical hernia without obstruction or gangrene in DRG1.79
Avg LOS at DRG5.34
Avg LOS with ICD K429 - Umbilical hernia without obstruction or gangrene6.03
Readmission Rate at DRG28.25
Readmission Rate with ICD K429 - Umbilical hernia without obstruction or gangrene29.62
Unplanned Readmission Rate at DRG21.93
Unplanned Readmission Rate with ICD K429 - Umbilical hernia without obstruction or gangrene23.29
Total Medicare payments at DRG$9,469,067,156
Total Medicare payments with ICD K429 - Umbilical hernia without obstruction or gangrene$15,211,444
Total Medicare payment per Day at DRG$1,751
Total Medicare payment per Day with ICD K429 - Umbilical hernia without obstruction or gangrene$1,655
Total Medicare payment per Hospitalization at DRG$9,340
Total Medicare payment per Hospitalization with ICD K429 - Umbilical hernia without obstruction or gangrene$9,988
Total Medicare Charges at DRG$43,343,716,813
Total Medicare Charges with ICD K429 - Umbilical hernia without obstruction or gangrene$73,957,681
Avg Charges at DRG$42,755
Avg Charges with ICD K429 - Umbilical hernia without obstruction or gangrene$48,561
Mortality Rate at DRG3.72
Mortality Rate with ICD K429 - Umbilical hernia without obstruction or gangrene3.68
SNF Discharge Rate at DRG20.84
SNF Discharge Rate with ICD K429 - Umbilical hernia without obstruction or gangrene18.71
Home Discharge Rate at DRG37.68
Home Discharge Rate with ICD K429 - Umbilical hernia without obstruction or gangrene40.64

Top 15 to 20 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 708: MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC)DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC)DRG 885: PSYCHOSES
Total Hospitalizations at DRG41,026
Total Hospitalizations with ICD K429 - Umbilical hernia without obstruction or gangrene1,113
DRG Share of Total Hospitalizations0.12
% of Total ICD K429 - Umbilical hernia without obstruction or gangrene in DRG1.31
Avg LOS at DRG1.47
Avg LOS with ICD K429 - Umbilical hernia without obstruction or gangrene1.46
Readmission Rate at DRG4.09
Readmission Rate with ICD K429 - Umbilical hernia without obstruction or gangrene5.1
Unplanned Readmission Rate at DRG3.2
Unplanned Readmission Rate with ICD K429 - Umbilical hernia without obstruction or gangrene3.83
Total Medicare payments at DRG$301,816,837
Total Medicare payments with ICD K429 - Umbilical hernia without obstruction or gangrene$8,168,928
Total Medicare payment per Day at DRG$5,001
Total Medicare payment per Day with ICD K429 - Umbilical hernia without obstruction or gangrene$5,012
Total Medicare payment per Hospitalization at DRG$7,357
Total Medicare payment per Hospitalization with ICD K429 - Umbilical hernia without obstruction or gangrene$7,340
Total Medicare Charges at DRG$2,330,115,586
Total Medicare Charges with ICD K429 - Umbilical hernia without obstruction or gangrene$68,750,735
Avg Charges at DRG$56,796
Avg Charges with ICD K429 - Umbilical hernia without obstruction or gangrene$61,771
Mortality Rate at DRGNA
Mortality Rate with ICD K429 - Umbilical hernia without obstruction or gangreneNA
SNF Discharge Rate at DRG0.28
SNF Discharge Rate with ICD K429 - Umbilical hernia without obstruction or gangreneNA
Home Discharge Rate at DRG95.0
Home Discharge Rate with ICD K429 - Umbilical hernia without obstruction or gangrene94.97

Top Hospitals Associated With K429 - Umbilical hernia without obstruction or gangrene - as a primary or secondary diagnosis code

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Sours: https://dexur.com/icd10/K429/
MEDICAL CODING - How to Select an ICD-10-CM Code - Medical Coder - Diagnosis Code Look Up Tutorial

This article will outline the causes, symptoms, diagnosis, treatment and ICD 10 codes for Umbilical Hernia.

Umbilical Hernia ICD 10 Causes

Umbilical hernia ICD 10 occurs when the opening in the abdominal muscles through which the umbilical cord passes does not close properly. According to the Cincinnati Childrens Hospital Center, there is no difference in incidence between boys and girls. African-American babies, premature babies and low birth weight babies are at higher risk of developing umbilical hernia. While umbilical hernia is more common in babies, it can also occur in adults. Umbilical hernias can occur in adults when too much pressure is exerted on a weak section of the abdominal muscles. Possible causes are obesity, frequent pregnancies, multiple pregnancies and twins or triplets. An umbilical hernia can look like a lump around the navel. When the infant lies relaxed, it shrinks. It becomes obvious when the child laughs, cries, goes to the toilet or coughs.

A doctor needs to be visited when the bulge becomes painful, vomiting may occur, the bulge may swell or discolor, the patient might be accustomed to pushing it flat against the abdomen, but it may not reduce significant pain or tenderness. It is not painful for children or infants. Adults may experience pain or discomfort if the fracture is large.

Umbilical Hernia ICD 10 Diagnosis

Without treatment, Umbilical Hernia ICD 10 can continue to grow and become more painful over time. There is also a risk that if the umbilical hernia is left untreated, the sac will be trapped (strangled) for too long. diagnosed by a physical examination by a doctor. The provider searches and feels for bulges or swelling around the belly button area. These bulges can manifest themselves when a baby cries or is too small to go down, or when the baby relaxes and rests on its back.

Umbilical Hernia ICD 10 Symptoms

Symptoms of strangled umbilical hernia ICD 10 include abdominal pain, tenderness, constipation, fever and a full, round abdomen that is red, purple, dark, discolored, bulging or vomiting. The examination will determine whether the fracture can be reduced if it is pushed out of the abdominal cavity. The provider will also look at the complete medical history to determine whether it has been trapped in the abdominal opening, which is a serious medical condition where protruding intestines are trapped and deprived of blood supply. This intestine can become necrotic and cannot be repaired, requiring surgical removal of the intestine.

The provider can arrange a barium X-ray, ultrasound, MRI or CT scan to examine the strangled intestine when the fracture is no longer reducible. The provider may also arrange blood tests to look for signs of infection resulting from the intestine strangled by the hernia.

Umbilical Hernia ICD 10 Treatments

Treatment of the umbilical hernia ICD 10 carries risks. Common complications include bleeding or clots from recurrent hernia, intestinal injuries, ruptured wounds, infections of the heart or lungs, and problems with the navel, which looks different. These complications occur in less than 10% of people whose umbilical hernia has been repaired by surgery. There is a risk that the patient will not undergo surgery to treat the umbilical hernia.

Without treatment, Umbilical Hernia ICD 10 can continue to grow and become more painful over time. There is also a risk that if the umbilical hernia is left untreated, the sac will be trapped (strangled) for too long. The only way to treat an umbilical hernia is surgery. There are two types of surgery to treatment for a hernia. Umbilical hernia repair surgery helps to put the sac back together and strengthen the abdominal wall. During this operation, the surgent makes a small incision in the hernia, and the surgical mesh is placed around the hernia and the muscles. The net reinforces the spot and prevents the hole from coming back. Another type of surgery uses stitches and sutures to repair the hernia. The suture is laid with instruments that go into a smaller incision on the abdomen. The patient will be placed under general anaesthesia and the operation will be completed in about 30 minutes. For an easy repair of the umbilical hernia, the patient can go home the same day after the operation. The surgeon will ask the patient to eat or drink for 6 hours before and after the operation in this type of surgery.

ICD 10 CM Codes For Umbilical Hernia

ICD 10 CMK42: Umbilical Hernia
ICD 10CMK42.0: Umbilical Hernia with obstruction without gangrene
ICD 10CM K42.1: Umbilical Hernia with gangrene
ICD 10CM K42.9: Umbilical Hernia without obstruction or gangrene

Sours: https://www.codingahead.com/icd-10-for-umbilical-hernia/

10 umbilical hernia icd

2022 ICD-10-CM Diagnosis Code K42.0

  1. ICD-10-CM Codes
  2. K00-K95 Diseases of the digestive system
  3. K40-K46 Hernia
  4. K42- Umbilical hernia
  5. 2022 ICD-10-CM Diagnosis Code K42.0

Umbilical hernia with obstruction, without gangrene

    2016201720182019202020212022Billable/Specific Code
  • K42.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2022 edition of ICD-10-CM K42.0 became effective on October 1, 2021.
  • This is the American ICD-10-CM version of K42.0 - other international versions of ICD-10 K42.0 may differ.
Applicable To
  • Umbilical hernia causing obstruction, without gangrene
  • Incarcerated umbilical hernia, without gangrene
  • Irreducible umbilical hernia, without gangrene
  • Strangulated umbilical hernia, without gangrene
The following code(s) above K42.0 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to K42.0:
  • K00-K95
    2022 ICD-10-CM Range K00-K95

    Diseases of the digestive system
    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

    Diseases of the digestive system
  • K40-K46
    2022 ICD-10-CM Range K40-K46

    Hernia
    Includes
    • acquired hernia
    • congenital [except diaphragmatic or hiatus] hernia
    • recurrent hernia
    Note
    • Hernia with both gangrene and obstruction is classified to hernia with gangrene.

    Hernia
  • K42
    ICD-10-CM Diagnosis Code K42

    Umbilical hernia

      2016201720182019202020212022Non-Billable/Non-Specific Code
    Umbilical hernia
Approximate Synonyms
  • Incarcerated obstructed umbilical hernia
  • Incarcerated umbilical hernia
  • Incarcerated umbilical hernia with obstruction
  • Irreducible umbilical hernia
  • Irreducible umbilical hernia with obstruction
  • Obstructed umbilical hernia
  • Umbilical hernia with obstruction
ICD-10-CM K42.0 is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
  • 393 Other digestive system diagnoses with mcc
  • 394 Other digestive system diagnoses with cc
  • 395 Other digestive system diagnoses without cc/mcc
  • 791 Prematurity with major problems
  • 793 Full term neonate with major problems

Convert K42.0 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • Hernia, hernial (acquired) (recurrent) K46.9
    ICD-10-CM Diagnosis Code K46.9

    Unspecified abdominal hernia without obstruction or gangrene

      2016201720182019202020212022Billable/Specific Code
    • umbilicus, umbilicalK42.9
      ICD-10-CM Diagnosis Code K42.9

      Umbilical hernia without obstruction or gangrene

        2016201720182019202020212022Billable/Specific Code
  • Incarceration, incarcerated
ICD-10-CM Codes Adjacent To K42.0
K41.3 Unilateral femoral hernia, with obstruction, without gangrene
K41.30 …… not specified as recurrent
K41.31 …… recurrent
K41.4 Unilateral femoral hernia, with gangrene
K41.40 …… not specified as recurrent
K41.41 …… recurrent
K41.9 Unilateral femoral hernia, without obstruction or gangrene
K41.90 …… not specified as recurrent
K41.91 …… recurrent
K42.0 Umbilical hernia with obstruction, without gangrene
K42.1 Umbilical hernia with gangrene
K42.9 Umbilical hernia without obstruction or gangrene
K43.0 Incisional hernia with obstruction, without gangrene
K43.1 Incisional hernia with gangrene
K43.2 Incisional hernia without obstruction or gangrene
K43.3 Parastomal hernia with obstruction, without gangrene
K43.4 Parastomal hernia with gangrene
K43.5 Parastomal hernia without obstruction or gangrene
K43.6 Other and unspecified ventral hernia with obstruction, without gangrene

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Sours: https://www.icd10data.com/ICD10CM/Codes/K00-K95/K40-K46/K42-/K42.0
Surgery 867 Umbilical Hernia Newborn Infants Adults Mayo

ICD-10-CM Code K42.9
Umbilical hernia without obstruction or gangrene

A hernia is the exit of an organ, such as the bowel, through the wall of the cavity in which it normally resides. Hernias come in a number of different types. Most commonly they involve the abdomen, specifically the groin. Groin hernias are most common of the inguinal type but may also be femoral. Other hernias include hiatus, incisional, and umbilical hernias. For groin hernias symptoms are present in about 66% of people. This may include pain or discomfort especially with coughing, exercise, or going to the toilet. Often it gets worse throughout the day and improves when lying down. A bulging area may occur that becomes larger when bearing down. Groin hernias occur more often on the right than left side. The main concern is strangulation, where the blood supply to part of the bowel is blocked. This usually produces severe pain and tenderness of the area. Hiatus or hiatal hernias often result in heartburn but may also cause chest pain or pain with eating.

Specialty:General Surgery
MeSH Codes: D006547, D006547, D006547, D006547, D006547, D006547, D006547, D006547
ICD 9 Codes:552, 553, 550, 551, 552, 553, 550, 551
Sours: https://icd.codes/icd10cm/K429

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ICD-10 Version:2014

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