Parastomal hernia with obstruction, without gangrene
ICD-10 K43.3 is a billable code used to indicate a diagnosis of parastomal hernia with obstruction, without gangrene.
K43.3 refers to a parastomal hernia with obstruction, without gangrene, which occurs when tissue protrudes through the abdominal wall near a stoma, leading to a blockage in the intestines. This condition typically arises in patients who have undergone ostomy surgery, where a stoma is created for waste elimination. The hernia can develop due to increased intra-abdominal pressure, poor surgical technique, or weakness in the abdominal wall. Clinically, patients may present with symptoms such as abdominal pain, nausea, vomiting, and signs of bowel obstruction. The anatomy involved includes the abdominal wall, stoma site, and the adjacent bowel segments. Disease progression can lead to severe complications if not addressed, including strangulation of the bowel, which is not present in this specific code. Diagnostic considerations include physical examination, imaging studies like ultrasound or CT scans, and assessment of stoma function. Timely diagnosis and intervention are crucial to prevent further complications and ensure patient safety.
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
K43.3 specifically covers parastomal hernias that present with obstruction but do not involve gangrene. This includes cases where the hernia causes bowel blockage without compromising blood supply to the affected bowel segment.
K43.3 should be used when there is clear documentation of a parastomal hernia causing obstruction. If the hernia is present without obstruction, K43.2 should be used instead.
Documentation should include clinical findings of obstruction, imaging results confirming the hernia, and a clear description of the patient's symptoms and treatment plan.
