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2025 ICD-10-CM code K45.0

Other specified abdominal hernia with obstruction, without gangrene.

This code should not be used if gangrene is present. If both gangrene and obstruction are present, the code for hernia with gangrene should be used.This code is specific to abdominal hernias and should not be used for hernias at other sites.

Medical necessity for intervention is determined by the presence of bowel obstruction and/or the risk of complications such as gangrene.Supporting documentation should clearly indicate the severity of the obstruction and the rationale for the chosen treatment.

Clinicians responsible for diagnosing and managing this condition include general surgeons, gastroenterologists, and emergency medicine physicians. Their responsibilities include evaluating the patient's condition, ordering appropriate imaging studies (CT, ultrasound), determining the severity of obstruction and the need for surgical intervention.

In simple words: This refers to a type of hernia in the belly area where the intestines are getting squeezed but not so badly that the tissue is dying.

This code represents a hernia located in the abdomen, at a site not otherwise specified, that is causing an obstruction of the bowel, but without the presence of gangrene (tissue death). It encompasses other specified incarcerated, irreducible, or strangulated abdominal hernias.

Example 1: A 50-year-old male presents to the ER with abdominal pain and vomiting. A CT scan reveals an obturator hernia causing a small bowel obstruction, without any signs of gangrene. The patient is admitted for surgical repair., A 70-year-old female with a history of lumbar hernia presents to her physician with increasing abdominal distension and constipation.Examination confirms the hernia is incarcerated and causing an obstruction.She undergoes surgery to repair the hernia., A 30-year-old male experiences sudden onset abdominal pain after heavy lifting. Imaging reveals a strangulated retroperitoneal hernia, leading to bowel obstruction. There's no evidence of gangrene, and the patient undergoes emergency surgery.

Documentation should include: location and type of hernia, presence and degree of obstruction, presence or absence of gangrene, associated symptoms (e.g., pain, vomiting, distention), imaging findings, and treatment plan.

** Excludes2: certain conditions originating in the perinatal period (P04-P96), certain infectious and parasitic diseases (A00-B99), complications of pregnancy, childbirth, and the puerperium (O00-O9A), congenital malformations, deformations and chromosomal abnormalities (Q00-Q99), endocrine, nutritional and metabolic diseases (E00-E88), injury, poisoning and certain other consequences of external causes (S00-T88), neoplasms (C00-D49), symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94).

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