2025 ICD-10-CM code K44.9
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the digestive system - Hernia XI: Diseases of the digestive system Feed
Diaphragmatic hernia without obstruction or gangrene.
Medical necessity for diagnostic and/or therapeutic intervention for a diaphragmatic hernia depends on the size of the hernia, the presence or absence of symptoms, and the potential for complications (e.g., obstruction, strangulation, volvulus).Small, asymptomatic hernias may not require intervention.
Diagnosis and management of diaphragmatic hernia, which may involve imaging studies (X-ray, CT scan), and depending on severity, surgical intervention.
In simple words: This code describes a condition where a hole or weakness in the diaphragm (the muscle separating the chest and abdomen) allows parts of the abdomen to push up into the chest.It's not causing a blockage or infection.
K44.9, Diaphragmatic hernia without obstruction or gangrene, refers to a condition where there is a weakness or opening in the diaphragm allowing abdominal contents to protrude into the chest cavity, but without complications such as obstruction or gangrene. This can be a congenital or acquired condition.The code includes cases where the specific type of diaphragmatic hernia is unspecified.
Example 1: A 60-year-old male presents with intermittent chest pain and shortness of breath.Imaging reveals a small diaphragmatic hernia without obstruction or gangrene.Conservative management is initiated., A newborn infant is found to have a diaphragmatic hernia during a routine examination.The hernia is small, asymptomatic and doesn't cause respiratory issues.The pediatrician monitors the infant's growth and development., A 75-year-old woman presents with severe dyspnea and chest pain.Imaging shows a large diaphragmatic hernia with significant displacement of abdominal organs.She undergoes emergency surgery for repair.
* Complete history and physical examination* Imaging studies (e.g., chest X-ray, CT scan, barium swallow) to confirm diagnosis and assess size and location of hernia* Documentation of symptoms (e.g., chest pain, shortness of breath, dysphagia)* Surgical report (if applicable)* Pathology report (if applicable)
** The diagnosis of diaphragmatic hernia requires clinical correlation with imaging findings.The severity of the condition influences the management strategy, ranging from observation to surgical intervention.
- Payment Status: Active
- Specialties:Gastroenterology, General Surgery, Pulmonology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Emergency Room - Hospital