Incisional hernia with obstruction, without gangrene
ICD-10 K43.0 is a billable code used to indicate a diagnosis of incisional hernia with obstruction, without gangrene.
K43.0 refers to an incisional hernia with obstruction, without gangrene, which occurs when a portion of the intestine protrudes through a defect in the abdominal wall at the site of a previous surgical incision. Clinically, patients may present with symptoms such as abdominal pain, nausea, vomiting, and signs of bowel obstruction, including distension and constipation. The anatomy involved includes the abdominal wall musculature and the peritoneal cavity, where the hernia sac can contain loops of bowel or omentum. Disease progression can lead to complications such as strangulation if the blood supply to the herniated tissue is compromised, although K43.0 specifically indicates the absence of gangrene. Diagnostic considerations include physical examination, imaging studies like ultrasound or CT scans, and assessment of bowel function. Timely diagnosis and intervention are crucial to prevent further complications and manage symptoms effectively.
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
K43.0 specifically covers incisional hernias that have become obstructed but do not exhibit signs of gangrene. This includes cases where the hernia sac contains bowel that is obstructed but still viable.
K43.0 should be used when there is clear evidence of an incisional hernia causing obstruction without gangrene. If gangrene is present, K43.2 should be used instead.
Documentation should include a detailed history of the surgical procedure leading to the hernia, clinical findings indicating obstruction, imaging results, and any treatment plans or surgical notes.
