Wiki Initial or Recurrent Ventral Hernia

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G
Code: K43
Code Name: ICD-10 Code for Ventral hernia
Block: Hernia (K40-K46)
Details: Ventral hernia
Guidelines: Diseases of the digestive system (K00-K95)
Excludes 2: 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)
For more details, visit: https://coder.aapc.com/icd-10-codes/K43

jessicaparker1

Networker
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Hi,

I'm reviewing an op note that doesn't state if the hernia is initial or recurrent. My first thought is to code initial but just checking to see if there are any guidelines that state if not documented we must code recurrent. Please help.

Thank You
 

CodingKing

True Blue
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Since there is no guideline you need to query. Its not a new concept in ICD-10 so physicians should already know they need to specify Initial vs recurrent (especially since the treatment is usually different for the 2 types). A recurrent Ventral hernia is actually considered an incisional hernia according to ICD.
 
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