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2025 ICD-10-CM code K43.1

Incisional hernia with gangrene.

Appropriate coding requires clear documentation of the gangrene as a complication of the incisional hernia. Any other relevant diagnoses or procedures should also be correctly coded.

Medical necessity is established by the presence of a gangrenous incisional hernia, posing a significant threat to the patient's health.The condition requires urgent surgical intervention to prevent further complications, such as sepsis or death.

The clinical responsibility includes diagnosing the hernia and gangrene, assessing the patient's overall health, determining the best course of treatment (which could involve surgery, antibiotics, or other interventions), and monitoring the patient's response to treatment.

IMPORTANT:May be coded with additional codes depending on the specific circumstances, such as codes for infection or other complications.Cross-reference with other relevant ICD-10 codes to ensure complete and accurate billing.

In simple words: This code describes a hernia that occurred at the site of a previous surgery and is now infected and dying.It needs immediate medical attention.

This code signifies an incisional hernia complicated by gangrene.An incisional hernia is a type of hernia that develops at the site of a previous surgical incision. Gangrene is the death of body tissue due to a lack of blood supply, often caused by infection or injury.In this context, the gangrene is specifically affecting the tissue of the hernia.

Example 1: A 60-year-old female patient presents with abdominal pain and swelling at the site of a previous abdominal surgery. Examination reveals a gangrenous incisional hernia requiring emergency surgical repair., A 75-year-old male patient undergoes a laparotomy for bowel obstruction. Post-operative day 5, he develops signs of gangrene at the incision site.This indicates a complicated incisional hernia requiring immediate intervention., A 45-year-old female patient has a history of incisional hernia. Following a recent viral illness, the hernia develops gangrene due to compromised blood supply. This requires surgical debridement and repair.

Detailed operative notes describing the surgical repair and management of the gangrene. Preoperative assessment notes. Postoperative recovery documentation.Imaging studies (e.g., ultrasound, CT scan) demonstrating the hernia and extent of gangrene. Laboratory results showing evidence of infection.Physician progress notes detailing the patient’s condition before, during, and after the procedure.

** Accurate coding requires precise documentation to reflect the severity of the gangrene and the complexity of the surgical repair.Consider consulting with a coding specialist if there is uncertainty in the case documentation.

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