ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesK41.31

K41.31

Billable

Unilateral femoral hernia, with obstruction, without gangrene, recurrent

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 K41.31 is a billable code used to indicate a diagnosis of unilateral femoral hernia, with obstruction, without gangrene, recurrent.

Key Diagnostic Point:

A unilateral femoral hernia occurs when tissue protrudes through a weak spot in the femoral canal, which is located just below the inguinal ligament. This condition is characterized by the presence of a hernial sac that may contain abdominal contents, such as fat or a portion of the intestine. In the case of K41.31, the hernia is obstructed, meaning that the blood supply to the trapped tissue is compromised, but there is no gangrene present. Clinical presentation often includes acute abdominal pain, nausea, vomiting, and signs of bowel obstruction. The anatomy involved includes the femoral canal, femoral vein, and surrounding structures. Disease progression can lead to complications such as strangulation if not addressed promptly. Diagnostic considerations include physical examination findings, imaging studies (such as ultrasound or CT scans), and the patient's clinical history. Recurrent hernias are common, particularly in patients with previous surgical interventions, and require careful management to prevent further complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and clinical evaluation to confirm obstruction and recurrence.
  • Treatment complexity: Surgical intervention is often necessary, with considerations for previous surgeries.
  • Documentation requirements: Detailed clinical notes and imaging results are essential for accurate coding.
  • Coding specificity: Specific to unilateral femoral hernia with obstruction, necessitating precise documentation.

Audit Risk Factors

  • Common coding errors: Misclassification of the type of hernia or failure to document obstruction.
  • Documentation gaps: Incomplete clinical notes regarding the patient's history of recurrence.
  • Billing challenges: Potential denials if the documentation does not clearly support the diagnosis.

Specialty Focus

Medical Specialties

General Surgery

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Gastroenterology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of K41.31 lies in its potential to cause severe complications if left untreated, such as bowel strangulation. This condition affects a notable portion of the population, particularly older adults and those with a history of hernias. Understanding the epidemiology of femoral hernias can inform preventive strategies and improve patient outcomes. Quality measures related to surgical intervention and postoperative care are essential for reducing recurrence rates and enhancing healthcare utilization patterns.

ICD-9 vs ICD-10

The clinical significance of K41.31 lies in its potential to cause severe complications if left untreated, such as bowel strangulation. This condition affects a notable portion of the population, particularly older adults and those with a history of hernias. Understanding the epidemiology of femoral hernias can inform preventive strategies and improve patient outcomes. Quality measures related to surgical intervention and postoperative care are essential for reducing recurrence rates and enhancing healthcare utilization patterns.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the surgical procedure performed and the patient's overall health status. Common denials may arise from insufficient documentation or failure to demonstrate the necessity of surgical intervention. Coders should ensure that all relevant details are captured in the medical record to support the diagnosis and procedure codes used, adhering to payer-specific guidelines for optimal reimbursement.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by K41.31?

K41.31 specifically covers unilateral femoral hernias that are obstructed but not gangrenous. It includes cases where the hernia has recurred after previous surgical repair.

When should K41.31 be used instead of related codes?

K41.31 should be used when the hernia is confirmed to be obstructed and recurrent. If the hernia is not obstructed or is bilateral, other codes should be considered.

What documentation supports K41.31?

Documentation should include clinical findings of the hernia, imaging results confirming obstruction, and notes on the patient's surgical history and recurrence.