Unspecified abdominal hernia with gangrene
ICD-10 K46.1 is a billable code used to indicate a diagnosis of unspecified abdominal hernia with gangrene.
K46.1 refers to an unspecified abdominal hernia with gangrene, a serious condition characterized by the protrusion of abdominal contents through a defect in the abdominal wall, which has become necrotic due to compromised blood supply. This condition often arises from pre-existing hernias that become incarcerated, leading to strangulation and subsequent gangrene. Clinically, patients may present with severe abdominal pain, signs of bowel obstruction, and systemic symptoms such as fever and tachycardia. The anatomy involved includes the abdominal wall, peritoneum, and potentially the intestines or other intra-abdominal organs. Disease progression can be rapid, necessitating immediate surgical intervention to prevent sepsis and further complications. Diagnostic considerations include imaging studies such as ultrasound or CT scans to assess the hernia's status and the viability of the affected tissue. Timely diagnosis and intervention are crucial to improve outcomes and reduce morbidity associated with this condition.
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
K46.1 specifically covers cases of abdominal hernias that have progressed to gangrene, which may include incarcerated or strangulated hernias where blood supply has been compromised, leading to tissue necrosis.
K46.1 should be used when there is clear evidence of gangrene associated with an abdominal hernia. If the hernia is present without gangrene, codes like K46.0 should be utilized instead.
Documentation must include clinical findings of gangrene, imaging results indicating the state of the hernia, and any surgical notes detailing the intervention performed and the condition of the affected tissue.
