Umbilical hernia
Chapter 11:Diseases of the digestive system
ICD-10 K42 is a used to indicate a diagnosis of umbilical hernia.
An umbilical hernia occurs when a portion of the intestine protrudes through an opening in the abdominal muscles near the umbilicus (navel). This condition is most commonly seen in infants but can also occur in adults, particularly those who are overweight or have a history of multiple pregnancies. Clinically, umbilical hernias may present as a soft bulge near the navel that becomes more prominent when the patient coughs, strains, or cries. In adults, symptoms may include discomfort or pain at the site of the hernia, especially during physical activity. The anatomy involved includes the abdominal wall, particularly the rectus abdominis muscle and the peritoneum. Disease progression can lead to complications such as incarceration or strangulation of the herniated tissue, which may require urgent surgical intervention. Diagnostic considerations include physical examination and imaging studies, such as ultrasound or CT scans, to assess the size and contents of the hernia. Treatment typically involves surgical repair, which can be performed via open or laparoscopic techniques.
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
K42 specifically covers umbilical hernias, which may be classified as reducible or incarcerated. It does not cover other types of hernias such as inguinal or femoral hernias.
K42 should be used when the hernia is specifically located at the umbilicus. If the hernia is in another location, such as the groin, then related codes like K40 (inguinal hernia) should be utilized.
Documentation should include a detailed history of the patient's symptoms, physical examination findings, imaging results if applicable, and the treatment plan, including any surgical interventions.