Umbilical hernia with obstruction, without gangrene
ICD-10 K42.0 is a billable code used to indicate a diagnosis of umbilical hernia with obstruction, without gangrene.
K42.0 refers to an umbilical hernia with obstruction, without gangrene. An umbilical hernia occurs when a portion of the intestine protrudes through an opening in the abdominal muscles at the umbilicus (navel). This condition is often seen in infants but can also occur in adults, particularly those who are overweight or have a history of abdominal surgery. Clinically, patients may present with a bulge at the umbilical site, which may become painful or tender, especially if obstructed. The obstruction occurs when the herniated tissue becomes trapped, leading to potential complications such as bowel ischemia if not addressed promptly. Diagnosis typically involves a physical examination and may be confirmed through imaging studies such as ultrasound or CT scan. The progression of the disease can vary; while some patients may remain asymptomatic, others may experience increasing discomfort and complications. Prompt surgical intervention is often required to relieve obstruction and prevent further complications. Understanding the anatomy involved, including the layers of the abdominal wall and the potential for strangulation, is crucial for effective management and treatment planning.
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
K42.0 specifically covers umbilical hernias that are obstructed but not gangrenous. This includes cases where the hernia is causing bowel obstruction without signs of tissue death.
K42.0 should be used when there is clear documentation of an obstructed umbilical hernia. If the hernia is not obstructed or is gangrenous, other codes such as K42.9 or K42.1 should be considered.
Documentation must include a clear description of the hernia, evidence of obstruction, and any related symptoms or complications. Surgical notes and imaging results are also critical.
