Unilateral femoral hernia, with gangrene
ICD-10 K41.4 is a used to indicate a diagnosis of unilateral femoral hernia, with gangrene.
K41.4 refers to a unilateral femoral hernia that has progressed to gangrene, a serious condition where the tissue dies due to a lack of blood supply. Clinically, patients may present with severe groin pain, swelling, and signs of bowel obstruction, including nausea and vomiting. The anatomy involved includes the femoral canal, which is located just below the inguinal ligament, where abdominal contents can protrude. The progression of this condition can lead to incarceration, where the herniated tissue becomes trapped, and subsequently strangulation, where blood supply is compromised, resulting in gangrene. Diagnostic considerations include physical examination, imaging studies such as ultrasound or CT scans, and laboratory tests to assess for signs of infection or systemic illness. Prompt diagnosis and intervention are critical to prevent further complications and improve patient outcomes.
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
K41.4 specifically covers unilateral femoral hernias that have become gangrenous. This includes cases where the hernia is incarcerated or strangulated, leading to tissue necrosis.
K41.4 should be used when there is clear evidence of gangrene associated with a unilateral femoral hernia. If the hernia is uncomplicated or only incarcerated without gangrene, other codes such as K41.0 should be used.
Documentation must include clinical findings of the hernia, imaging results indicating the presence of gangrene, and any surgical notes detailing the intervention performed.