Incisional hernia with gangrene
ICD-10 K43.1 is a billable code used to indicate a diagnosis of incisional hernia with gangrene.
K43.1 refers to an incisional hernia that has become complicated by gangrene. An incisional hernia occurs when tissue protrudes through a weak spot in the abdominal wall, typically at the site of a previous surgical incision. The clinical presentation may include a palpable bulge in the abdominal area, pain, and signs of bowel obstruction. In cases where gangrene develops, there may be severe pain, discoloration of the skin, and systemic signs of infection such as fever and tachycardia. The anatomy involved primarily includes the abdominal wall musculature and the peritoneum, with potential involvement of the intestines or other intra-abdominal organs. Disease progression can lead to necrosis of the herniated tissue, requiring urgent surgical intervention. Diagnostic considerations include physical examination, imaging studies such as ultrasound or CT scans, and laboratory tests to assess for infection or metabolic derangements. Prompt diagnosis and treatment are critical to prevent further complications, including sepsis.
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
K43.1 specifically covers incisional hernias that have developed gangrene, indicating a severe complication where the herniated tissue has undergone necrosis. This condition requires immediate medical attention and surgical intervention.
K43.1 should be used when there is clear documentation of gangrene associated with an incisional hernia. If the hernia is uncomplicated or does not show signs of necrosis, codes such as K43.0 should be utilized.
Documentation must include a detailed clinical assessment indicating the presence of an incisional hernia, signs of gangrene, and any imaging or laboratory results that support the diagnosis. Surgical notes detailing the procedure and findings are also essential.
