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ICD-10 Guide
ICD-10 CodesK41.2

K41.2

Non-billable

Bilateral femoral hernia, without obstruction or gangrene

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

Code Description

ICD-10 K41.2 is a used to indicate a diagnosis of bilateral femoral hernia, without obstruction or gangrene.

Key Diagnostic Point:

A bilateral femoral hernia occurs when tissue protrudes through a weak spot in the femoral canal, which is located just below the inguinal ligament. This condition is characterized by the presence of herniated tissue on both sides of the body, typically presenting as a bulge in the groin area. Patients may experience discomfort, especially when lifting heavy objects, coughing, or straining. Unlike obstructed or strangulated hernias, K41.2 indicates that the hernia is not causing bowel obstruction or gangrene, which can complicate the clinical picture. Diagnosis is primarily clinical, supported by physical examination and imaging studies such as ultrasound or CT scans if necessary. The progression of a bilateral femoral hernia can lead to complications if left untreated, including incarceration or strangulation, which necessitates surgical intervention. Surgical repair is the standard treatment, often performed via open or laparoscopic techniques, depending on the patient's overall health and the surgeon's expertise. Proper coding requires careful documentation of the hernia's characteristics and the absence of complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires clinical evaluation and may involve imaging.
  • Treatment complexity: Surgical intervention is often necessary, with varying techniques.
  • Documentation requirements: Detailed documentation of symptoms and surgical procedures is essential.
  • Coding specificity: Requires accurate coding to differentiate from other hernia types.

Audit Risk Factors

  • Common coding errors: Misclassification of hernia type or complications.
  • Documentation gaps: Insufficient detail on symptoms or surgical procedures.
  • Billing challenges: Potential denials if documentation does not 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

Bilateral femoral hernias can significantly impact patient quality of life, leading to discomfort and potential complications if untreated. Understanding the epidemiology of hernias, including their prevalence in certain populations, can inform healthcare providers about the need for preventive measures and timely interventions. Effective management of hernias contributes to improved population health outcomes and reduces healthcare utilization associated with complications.

ICD-9 vs ICD-10

Bilateral femoral hernias can significantly impact patient quality of life, leading to discomfort and potential complications if untreated. Understanding the epidemiology of hernias, including their prevalence in certain populations, can inform healthcare providers about the need for preventive measures and timely interventions. Effective management of hernias contributes to improved population health outcomes and reduces healthcare utilization associated with complications.

Reimbursement & Billing Impact

Reimbursement considerations include the complexity of the surgical procedure performed, as well as the patient's overall health status. Common denials may arise from insufficient documentation or incorrect coding of the hernia type. Coders should ensure that all relevant details, including the surgical approach and any pre-operative assessments, are thoroughly documented to support the claim. Adhering to coding best practices and guidelines will facilitate smoother billing processes and reduce the risk of audits.

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 K41.2?

K41.2 specifically covers bilateral femoral hernias that are not obstructed or gangrenous. It is important to differentiate this from other hernia types, such as inguinal hernias or those with complications.

When should K41.2 be used instead of related codes?

K41.2 should be used when both femoral hernias are present without obstruction or gangrene. If there is a unilateral hernia, K40 should be used, and if complications are present, K41.0 is appropriate.

What documentation supports K41.2?

Documentation should include a detailed clinical examination, imaging results if performed, and a clear description of the hernia's characteristics, including the absence of obstruction or gangrene.