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2025 ICD-10-CM code K45.8

Other specified abdominal hernia without obstruction or gangrene.

Refer to the official ICD-10-CM coding guidelines for detailed instructions on code selection and application.

Medical necessity for treatment of an abdominal hernia is typically determined by the presence of symptoms (pain, discomfort, bowel obstruction), complications (strangulation, incarceration), and impact on the patient's daily living.Consideration must be given to the severity of the condition and overall clinical status of the patient.

Diagnosis and management of abdominal hernias.This may include physical examination, imaging studies (ultrasound, CT scan), and surgical consultation.

IMPORTANT:Consider K45.0-K45.7 for other specified abdominal hernias with specific locations.If obstruction or gangrene is present, a different code would be necessary.

In simple words: This code is for a type of hernia in the abdomen that isn't specifically listed elsewhere and doesn't have a blockage or dead tissue.A hernia is when an organ pushes through a weak spot in the muscle.

This ICD-10-CM code classifies other specified abdominal hernias that do not involve obstruction or gangrene.It includes abdominal hernias of unspecified sites, lumbar hernias, obturator hernias, pudendal hernias, retroperitoneal hernias, and sciatic hernias.Acquired, congenital (excluding diaphragmatic or hiatus), and recurrent hernias are all encompassed within this code, provided they do not present with obstruction or gangrene.

Example 1: A 55-year-old male presents with a bulge in his lower abdomen. Physical examination reveals a reducible inguinal hernia. Imaging studies confirm the diagnosis and surgical intervention is advised., A 70-year-old female complains of persistent abdominal pain.Physical exam reveals a non-reducible umbilical hernia.Further investigations and management plan will depend on the patient's clinical presentation and underlying factors., A 30-year-old presents with a history of recurrent hernias post-surgery; this time it's a small ventral hernia. This requires careful assessment and a specialized surgical approach given the patient’s history.

Complete history and physical examination documenting the presence of an abdominal hernia. Imaging reports (if performed).Physician's notes specifying the location and characteristics of the hernia, including whether it's reducible or irreducible. Surgical reports (if surgery was performed).

** This code is for unspecified abdominal hernias without obstruction or gangrene.If the hernia involves a specific location, a more specific code should be used.The absence of obstruction or gangrene is crucial for proper code selection.

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