ICD-10 Coding for Right Groin Hernia(K40.90, K40.31)
Complete ICD-10-CM coding and documentation guide for Right Groin Hernia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Groin Hernia
K40-K46Primary Range
Hernia
This range includes all types of hernias, with specific codes for inguinal hernias.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K40.90 | Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent | Use when the hernia is reducible and there are no complications. |
|
| K40.31 | Unilateral inguinal hernia, with obstruction, without gangrene | Use when the hernia is non-reducible and obstructed. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for right groin hernia
Essential facts and insights about Right Groin Hernia
Primary ICD-10-CM Codes for right groin hernia
Decision Criteria
clinical Criteria
- Hernia is reducible and no signs of obstruction or gangrene.
Clinical Validation Requirements
- Physical exam showing reducible right inguinal bulge
Code-Specific Risks
- Misclassification if incarceration is present
Coding Notes
- Ensure documentation specifies reducibility and absence of complications.
K40.31 - Unilateral inguinal hernia, with obstruction, without gangrene
Use when the hernia is non-reducible and obstructed.
Applicable To
- Incarcerated right inguinal hernia
Excludes
- Gangrenous hernia (K40.32)
Clinical Validation Requirements
- Imaging showing bowel obstruction
Coding Notes
Document obstruction and non-reducibility clearly.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Body mass index (BMI) 25-29.9, adult
Z68.1Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Groin Hernia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K40.90.
Impact
Clinical: Inaccurate surgical records, Regulatory: Potential audit issues, Financial: Denial of additional procedure codes
Mitigation Strategy
Use operative note templates, Double-check documentation before submission
Impact
Reimbursement: Claims may be denied if incorrect code is used., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data recording.
Mitigation Strategy
Ensure documentation specifies incarceration and use K40.31.
Impact
Misclassification of reducible vs. incarcerated hernias.
Mitigation Strategy
Ensure thorough documentation and use decision criteria.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Right Groin Hernia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Groin Hernia
Use these documentation templates to ensure complete and accurate documentation for Right Groin Hernia. These templates include all required elements for proper coding and billing.
Operative Note for Right Inguinal Hernia Repair
Specialty: General SurgeryRequired Elements
- Hernia type and reducibility
- Mesh details if applicable
- Complications encountered
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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