Parastomal hernia with gangrene
ICD-10 K43.4 is a billable code used to indicate a diagnosis of parastomal hernia with gangrene.
K43.4 refers to a parastomal hernia with gangrene, a serious complication that occurs when a portion of the intestine protrudes through the abdominal wall near a stoma, leading to strangulation and subsequent necrosis of the tissue. Clinically, patients may present with severe abdominal pain, nausea, vomiting, and signs of systemic infection such as fever and tachycardia. The anatomy involved includes the abdominal wall, stoma site, and the affected segment of the intestine. Disease progression can be rapid, with the risk of bowel obstruction and peritonitis if not addressed promptly. Diagnostic considerations include physical examination, imaging studies such as CT scans, and laboratory tests to assess for signs of infection or metabolic derangement. Early recognition and intervention are crucial to prevent further complications and improve patient outcomes.
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
K43.4 specifically covers parastomal hernias that have progressed to gangrene, indicating necrosis of the bowel due to compromised blood supply. This condition is often a result of strangulation of the herniated bowel segment.
K43.4 should be used when there is clear evidence of gangrene associated with a parastomal hernia. If the hernia is present without gangrene, K43.0 should be used instead.
Documentation must include clinical findings of gangrene, imaging results confirming the diagnosis, and notes on the patient's symptoms and treatment plan, particularly if surgical intervention is required.
