Umbilical hernia with gangrene
ICD-10 K42.1 is a billable code used to indicate a diagnosis of umbilical hernia with gangrene.
K42.1 refers to an umbilical hernia that has progressed to gangrene, a serious and potentially life-threatening condition. An umbilical hernia occurs when a portion of the intestine protrudes through a weak spot in the abdominal muscles near the navel. In cases where the hernia becomes incarcerated or strangulated, blood supply to the herniated tissue can be compromised, leading to gangrene. Clinically, patients may present with severe abdominal pain, swelling around the umbilicus, fever, and signs of systemic infection. The anatomy involved includes the abdominal wall, specifically the rectus abdominis muscle, and the peritoneal cavity. Disease progression can occur rapidly, necessitating prompt diagnosis and intervention. Diagnostic considerations include physical examination findings, imaging studies such as ultrasound or CT scans, and laboratory tests to assess for infection or metabolic derangements. Early recognition and surgical intervention are critical to prevent further complications, including sepsis or bowel necrosis.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
K42.1 specifically covers umbilical hernias that have become gangrenous, indicating a critical state where the blood supply to the herniated tissue is compromised, leading to tissue death.
K42.1 should be used when there is clear documentation of gangrene associated with an umbilical hernia. If the hernia is not gangrenous, K42.0 should be selected instead.
Documentation must include clinical findings of the hernia, evidence of gangrene (such as necrotic tissue noted during examination or surgery), and any imaging studies that support the diagnosis.
