Parastomal hernia without obstruction or gangrene
ICD-10 K43.5 is a billable code used to indicate a diagnosis of parastomal hernia without obstruction or gangrene.
K43.5 refers to a parastomal hernia without obstruction or gangrene, which occurs when abdominal tissue protrudes through the abdominal wall near a stoma. This condition is often seen in patients who have undergone ostomy procedures, such as colostomy or ileostomy, where the stoma is created for waste elimination. Clinically, patients may present with a visible bulge around the stoma, discomfort, or pain, particularly when straining or lifting. The anatomy involved includes the abdominal muscles, the stoma itself, and the surrounding connective tissues. Disease progression can lead to complications if left untreated, although K43.5 specifically indicates the absence of obstruction or gangrene. Diagnosis typically involves a physical examination and may include imaging studies such as ultrasound or CT scans to assess the extent of the hernia and rule out other complications. Proper diagnosis is crucial for determining the appropriate management strategy, which may include surgical intervention or conservative measures.
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
K43.5 specifically covers parastomal hernias that do not present with obstruction or gangrene. This includes hernias that may cause discomfort or cosmetic concerns but do not pose an immediate threat to the patient's health.
K43.5 should be used when a patient presents with a parastomal hernia that is not obstructed or gangrenous. If there are signs of obstruction or gangrene, codes K43.0 or K43.1 should be utilized instead.
Documentation should include a thorough clinical evaluation noting the presence of a hernia, its location, and confirmation that there is no obstruction or gangrene. Imaging studies may also support the diagnosis.
