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Home/Diagnosis/ICD-10 Coding for Incarcerated Hernia

ICD-10 Coding for Incarcerated Hernia

K42.0
K42.1

Complete ICD-10-CM coding and documentation guide for icd-10 coding for incarcerated hernia includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Strangulated Hernia
Irreducible Hernia
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Key Information: ICD-10 Coding for Incarcerated Hernia

Essential facts and insights about ICD-10 Coding for Incarcerated Hernia

Use ICD-10 code K42.0 for umbilical hernia with obstruction, without gangrene, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Umbilical hernia with obstruction, without gangrene

Billable Code
K42.0
Billable

Diagnostic Criteria

  • • Hernia is non-reducible and obstructed without signs of gangrene.

Applicable To

  • • Incarcerated umbilical hernia without gangrene

Important Notes

  • • Ensure documentation specifies absence of gangrene.

Umbilical hernia with gangrene

Billable Code
K42.1
Billable

Diagnostic Criteria

  • • Gangrene confirmed by surgical findings
  • • Elevated WBC indicating infection

Applicable To

  • • Incarcerated umbilical hernia with gangrene

Important Notes

  • • Documentation must confirm gangrene.
Ancillary Codes

Additional codes that may be used with this diagnosis

R02

Gangrene

Use when gangrene is confirmed in conjunction with hernia.

Frequently Asked Questions

What is the ICD-10 code for an incarcerated hernia?

The ICD-10 code for an incarcerated umbilical hernia without gangrene is K42.0, while K42.1 is used when gangrene is present.

How do you document an incarcerated hernia?

Documentation should include hernia type, reducibility, presence of gangrene, and operative findings to ensure accurate coding.

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