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ICD-10 Guide
ICD-10 CodesK41.01

K41.01

Billable

Bilateral femoral hernia, with obstruction, without gangrene, recurrent

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

Code Description

ICD-10 K41.01 is a billable code used to indicate a diagnosis of bilateral femoral hernia, with obstruction, without gangrene, 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 body, leading to potential obstruction of the bowel. Patients may present with symptoms such as groin pain, swelling, and signs of bowel obstruction, including nausea, vomiting, and abdominal distension. The anatomy involved includes the femoral canal, which houses the femoral vein, artery, and lymphatics, making it a critical area for vascular and gastrointestinal integrity. Disease progression can lead to incarceration or strangulation of the hernia, although K41.01 specifically denotes cases without gangrene. Diagnosis typically involves a physical examination and imaging studies, such as ultrasound or CT scans, to confirm the presence and extent of the hernia. Recurrent hernias are those that have previously been surgically repaired but have reappeared, necessitating careful evaluation of prior surgical techniques and patient factors contributing to recurrence.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Common coding errors include misidentifying the hernia type or failing to document obstruction.
  • Documentation gaps may arise if the clinical notes do not clearly indicate the recurrent nature of the hernia or the absence of gangrene.
  • Billing challenges often stem from insufficient detail in operative reports or lack of imaging studies to support the diagnosis.

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

The clinical significance of K41.01 lies in its potential complications, including bowel obstruction and strangulation, which can lead to serious morbidity. Understanding the epidemiology of hernias, particularly in populations at risk, can inform preventive measures and surgical interventions. Monitoring quality measures related to hernia repair outcomes can enhance healthcare utilization patterns and improve patient care.

ICD-9 vs ICD-10

The clinical significance of K41.01 lies in its potential complications, including bowel obstruction and strangulation, which can lead to serious morbidity. Understanding the epidemiology of hernias, particularly in populations at risk, can inform preventive measures and surgical interventions. Monitoring quality measures related to hernia repair outcomes can enhance healthcare utilization patterns and improve patient care.

Reimbursement & Billing Impact

reimbursement.

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 K41.01?

K41.01 covers bilateral femoral hernias that are obstructed but not gangrenous, specifically those that have recurred after previous surgical intervention. It is important to document the obstruction and recurrence clearly.

When should K41.01 be used instead of related codes?

K41.01 should be used when both sides are affected by a recurrent femoral hernia that is obstructing the bowel. If the hernia is unilateral or not obstructed, other codes such as K41.00 or K41.9 should be considered.

What documentation supports K41.01?

Documentation should include a detailed history of the hernia, previous surgical interventions, current symptoms indicating obstruction, and imaging results confirming the diagnosis.