2025 ICD-10-CM code K41.1
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Hernia - Hernia Diseases of the digestive system Feed
Bilateral femoral hernia with gangrene.
Modifiers may apply depending on the circumstances of the procedure.Consult the most recent CPT and payer guidelines for any necessary modifier(s).
Medical necessity is established by the presence of gangrene in a bilateral femoral hernia.Gangrene is a life-threatening condition requiring immediate surgical intervention to prevent further tissue damage and potential sepsis.
The clinical responsibility includes diagnosis, surgical repair (if indicated), and postoperative care.This may involve multiple specialties such as general surgery, vascular surgery, or gastroenterology depending on the complexity and associated complications.
In simple words: This code describes a serious condition where tissue in the groin area dies due to a hernia on both sides. A hernia is when part of the intestine pushes through a weak spot in the abdominal muscles.
This code classifies a bilateral femoral hernia complicated by gangrene.A femoral hernia is a protrusion of abdominal contents through the femoral canal, and bilateral indicates involvement of both femoral canals. Gangrene signifies the death of tissue due to insufficient blood supply, a serious complication requiring urgent medical intervention.
Example 1: A 70-year-old female presents with a painful, swollen right and left groin, accompanied by signs of tissue necrosis (gangrene) in the hernial sac.Surgical repair is necessary to address the gangrene and correct the hernia., A 65-year-old male with a known history of bilateral femoral hernias experiences a sudden increase in pain and discoloration of the skin in both groin areas.Examination reveals gangrene necessitating immediate surgical intervention., A 50-year-old female reports increasing discomfort and swelling in both groins. Imaging reveals bilateral femoral hernias with evidence of compromised blood supply to the herniated tissue, consistent with impending gangrene.Urgent surgical repair is planned.
Complete physical examination notes documenting the presence of bilateral femoral hernias and evidence of gangrene (e.g., skin discoloration, lack of pulse, area of necrosis).Relevant imaging studies (ultrasound, CT scan) confirming the diagnosis and extent of involvement. Operative notes detailing the surgical procedure and repair, including assessment of gangrene. Pathology reports if tissue samples were taken during surgery.
** This code should only be used when gangrene is present.If obstruction is present without gangrene, code K41.0 should be considered.Always refer to the most up-to-date ICD-10-CM coding guidelines for proper usage.
- Revenue Code: Revenue codes will vary depending on the services provided and the payer.Specific revenue codes should be determined based on the individual encounter.
- RVU: RVUs are not directly assigned to ICD-10 codes.Reimbursement is determined by the procedures performed and other factors, not this diagnosis alone.
- Global Days: Not applicable to this ICD-10 code. Global days are relevant for surgical procedures, not diagnoses.
- Payment Status: Active
- Modifier TC rule: Not applicable to this ICD-10 code; modifiers apply to procedural codes (CPT).
- Fee Schedule: Not applicable to this ICD-10 code. Fee schedules apply to procedural codes.
- Specialties:General Surgery, Vascular Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center