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Home/Diagnosis/ICD-10 Coding for Umbilical Hernia

ICD-10 Coding for Umbilical Hernia

K42.0
K42.1
K42.9

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

Also Known as:
Navel Hernia
Belly Button Hernia
umbilicus hernia
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Key Information: ICD-10 Coding for Umbilical Hernia

Essential facts and insights about ICD-10 Coding for Umbilical 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

  • • Obstruction confirmed by imaging

Applicable To

  • • Incarcerated umbilical hernia

Important Notes

  • • Ensure documentation specifies obstruction without gangrene.

Umbilical hernia with gangrene

Billable Code
K42.1
Billable

Diagnostic Criteria

    Applicable To

    • • Strangulated umbilical hernia

    Important Notes

    • • Document necrosis or gangrene explicitly.

    Umbilical hernia without obstruction or gangrene

    Billable Code
    K42.9
    Billable

    Diagnostic Criteria

      Applicable To

      • • Reducible umbilical hernia

      Important Notes

      • • Ensure no obstruction or gangrene is present.
      Ancillary Codes

      Additional codes that may be used with this diagnosis

      R10.13

      Epigastric pain

      Use if pain is a presenting symptom.

      K91.3

      Postoperative intestinal obstruction

      Use for post-repair complications.

      Frequently Asked Questions

      How do you code an umbilical hernia with obstruction?

      Code K42.0 is used for an umbilical hernia with obstruction but without gangrene. Ensure documentation specifies obstruction and includes imaging results.

      What is the ICD-10 code for a reducible umbilical hernia?

      The ICD-10 code for a reducible umbilical hernia is K42.9, used when there is no obstruction or gangrene.

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