Diaphragmatic hernia with gangrene
ICD-10 K44.1 is a billable code used to indicate a diagnosis of diaphragmatic hernia with gangrene.
K44.1 refers to a diaphragmatic hernia with gangrene, a serious condition where a portion of the stomach or intestines protrudes through an abnormal opening in the diaphragm, leading to compromised blood flow and subsequent tissue necrosis. The diaphragm, a muscular structure separating the thoracic and abdominal cavities, plays a crucial role in respiration. In cases of diaphragmatic hernia, the herniated tissue can become strangulated, resulting in gangrene due to ischemia. Clinically, patients may present with severe abdominal pain, respiratory distress, and signs of sepsis. Diagnosis typically involves imaging studies such as X-rays or CT scans to confirm the presence of herniated organs and assess for complications like gangrene. Early intervention is critical to prevent further morbidity and mortality, often requiring surgical repair and resection of necrotic tissue. Understanding the anatomy involved and the potential for rapid disease progression is essential for effective management and coding accuracy.
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
K44.1 specifically covers diaphragmatic hernias that have progressed to gangrene, indicating a critical state where the herniated tissue has lost its blood supply and is undergoing necrosis. This condition is often associated with acute abdominal emergencies.
K44.1 should be used when there is clear documentation of a diaphragmatic hernia that has developed gangrene. If the hernia is present without complications, K44.0 should be used instead.
Documentation must include clinical findings of a diaphragmatic hernia, imaging results confirming the hernia and gangrene, surgical notes detailing the intervention, and any relevant laboratory results indicating infection or ischemia.
