2025 ICD-10-CM code K42.0
(Active) Effective Date: N/A Diseases of the digestive system - Hernia (K40-K46) Diseases of the digestive system (K00-K95) Feed
Umbilical hernia with obstruction, without gangrene.
Medical necessity is established by the presence of an umbilical hernia causing obstruction. This may manifest as pain, discomfort, nausea, vomiting, or other signs of blockage.
- Diseases of the digestive system (K00-K95)
- K42 – Umbilical herniaK42.0 – Umbilical hernia with obstruction, without gangreneK42.1 – Umbilical hernia with gangreneK42.9 – Umbilical hernia without obstruction or gangrene
In simple words: An umbilical hernia (a bulge near the belly button) that is blocked, but the tissue is not dead.
Umbilical hernia causing obstruction, without gangrene. Includes: paraumbilical hernia. Excludes1: omphalocele (Q79.2)
Example 1: A patient presents with a bulge near their belly button that is painful and firm. Upon examination, it is determined that the hernia is incarcerated and causing an obstruction, but there are no signs of gangrene., A child has an umbilical hernia that has become irreducible and is causing discomfort. Imaging confirms obstruction, and the decision is made to perform surgery to repair the hernia., During a routine check-up, a doctor discovers a paraumbilical hernia (a type of umbilical hernia) that is causing a partial blockage. The patient reports occasional nausea and vomiting, consistent with obstruction. The hernia is not strangulated.
Documentation should include the type of hernia (umbilical/paraumbilical), presence of obstruction, absence of gangrene, associated symptoms (e.g., pain, nausea, vomiting), and physical examination findings.
- Specialties:General surgery, pediatric surgery, gastroenterology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center