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ICD-10 Guide
ICD-10 CodesK41.00

K41.00

Billable

Bilateral femoral hernia, with obstruction, without gangrene, not specified as recurrent

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

Code Description

ICD-10 K41.00 is a billable code used to indicate a diagnosis of bilateral femoral hernia, with obstruction, without gangrene, not specified as recurrent.

Key Diagnostic Point:

A bilateral femoral hernia occurs when tissue protrudes through a weak spot in the femoral canal, located just below the inguinal ligament. This condition is characterized by the presence of herniated tissue on both sides of the groin. Clinical presentation typically includes a noticeable bulge in the groin area, which may be accompanied by discomfort or pain, especially during activities that increase intra-abdominal pressure, such as lifting or straining. In cases of obstruction, the hernia can lead to bowel obstruction, presenting with symptoms such as nausea, vomiting, and abdominal distension. The absence of gangrene indicates that the blood supply to the herniated tissue remains intact, which is crucial for patient management. Diagnosis often involves a physical examination and imaging studies, such as ultrasound or CT scans, to confirm the presence of the hernia and assess for complications. Timely intervention is essential to prevent further complications, including strangulation or bowel necrosis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

Specialty Focus

Medical Specialties

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

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

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Bilateral femoral hernias can significantly impact patient quality of life and healthcare utilization, often leading to surgical interventions. Understanding the epidemiology of hernias, including risk factors such as obesity and age, can inform population health strategies. Quality measures may include tracking surgical outcomes and complication rates, which are essential for improving care delivery and patient outcomes.

ICD-9 vs ICD-10

Bilateral femoral hernias can significantly impact patient quality of life and healthcare utilization, often leading to surgical interventions. Understanding the epidemiology of hernias, including risk factors such as obesity and age, can inform population health strategies. Quality measures may include tracking surgical outcomes and complication rates, which are essential for improving care delivery and patient outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the surgical procedure and the patient's overall health status. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Best practices include thorough documentation of the clinical findings, imaging studies, and any surgical interventions performed, as well as adherence to payer-specific guidelines for billing hernia repairs.

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 K41.00?

K41.00 specifically covers bilateral femoral hernias that are obstructed but not gangrenous and are not specified as recurrent. It is important to differentiate this from other types of hernias and conditions that may present similarly.

When should K41.00 be used instead of related codes?

K41.00 should be used when there is a confirmed diagnosis of bilateral femoral hernia with obstruction, without gangrene, and when the hernia is not recurrent. If the hernia is unilateral or has gangrene, different codes should be selected.

What documentation supports K41.00?

Documentation should include a detailed clinical assessment, imaging results confirming the presence of a bilateral femoral hernia with obstruction, and notes on the absence of gangrene. Surgical notes and treatment plans are also essential.