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 CodesChapter 11: Diseases of the digestive systemK44

K44

Non-billable

Diaphragmatic hernia

Chapter 11:Diseases of the digestive system

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

Code Description

ICD-10 K44 is a used to indicate a diagnosis of diaphragmatic hernia.

Key Diagnostic Point:

K44 refers to diaphragmatic hernia, a condition characterized by an abnormal opening in the diaphragm, allowing abdominal contents to move into the thoracic cavity. The diaphragm is a muscular structure that separates the chest from the abdomen and plays a crucial role in respiration. Diaphragmatic hernias can be congenital, present at birth, or acquired due to trauma, surgery, or increased intra-abdominal pressure. Clinical presentation may include respiratory distress, gastrointestinal symptoms such as vomiting, and signs of bowel obstruction. Diagnosis typically involves imaging studies such as chest X-rays or CT scans, which can reveal the presence of abdominal organs in the thoracic cavity. Disease progression can lead to serious complications, including strangulation of herniated organs, necessitating prompt surgical intervention. Understanding the anatomy involved, including the location of the hernia (e.g., hiatal, Bochdalek, Morgagni), is essential for accurate diagnosis and treatment planning. Overall, K44 encompasses a range of clinical scenarios that require careful evaluation and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and clinical assessment to confirm
  • Treatment complexity: May involve surgical intervention and postoperative care
  • Documentation requirements: Detailed clinical notes and imaging reports are essential
  • Coding specificity: Requires differentiation between types of hernias

Audit Risk Factors

  • Common coding errors: Misclassification of hernia type
  • Documentation gaps: Incomplete clinical notes or imaging reports
  • Billing challenges: Denials due to lack of supporting documentation or incorrect coding

Specialty Focus

Medical Specialties

Primary medical specialty: 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

Secondary specialty: 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

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Diaphragmatic hernias can significantly impact patient health, leading to respiratory distress and gastrointestinal complications. The condition may affect various populations, particularly infants with congenital forms. Understanding the epidemiology of diaphragmatic hernias can inform healthcare providers about prevalence rates and associated risk factors, ultimately guiding preventive measures and improving patient outcomes.

ICD-9 vs ICD-10

Diaphragmatic hernias can significantly impact patient health, leading to respiratory distress and gastrointestinal complications. The condition may affect various populations, particularly infants with congenital forms. Understanding the epidemiology of diaphragmatic hernias can inform healthcare providers about prevalence rates and associated risk factors, ultimately guiding preventive measures and improving patient outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the case, the need for surgical intervention, and the potential for postoperative complications. Common denials may arise from insufficient documentation or incorrect coding. Best practices include ensuring that all clinical notes, imaging results, and surgical reports are complete and accurately reflect the patient's condition and treatment plan.

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 K44?

K44 covers various types of diaphragmatic hernias, including congenital hernias (e.g., Bochdalek hernia) and acquired hernias resulting from trauma or surgical procedures. It also includes hernias that may present with complications such as strangulation or incarceration.

When should K44 be used instead of related codes?

K44 should be used when the hernia specifically involves the diaphragm. If the hernia is located in other areas, such as the abdominal wall or groin, related codes like K43 or K45 should be selected. Accurate diagnosis and imaging findings are crucial for appropriate code selection.

What documentation supports K44?

Documentation for K44 should include clinical notes detailing the patient's symptoms, imaging studies confirming the presence of a diaphragmatic hernia, and any surgical reports if applicable. Clear documentation of the hernia type and any complications is essential for accurate coding.