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2025 ICD-10-CM code K46.1

Unspecified abdominal hernia with gangrene.

Code K46.1 should be used when the specific type of abdominal hernia is not documented. If the type of hernia is known (e.g., inguinal, femoral, umbilical), the appropriate code with the gangrene specification should be used instead. Note that a hernia with both gangrene and obstruction is classified to hernia with gangrene.

Medical necessity for K46.1 is established by the presence of an abdominal hernia with gangrene, confirmed by physical examination and/or imaging studies. The presence of gangrene requires prompt medical intervention, often surgical, to remove the dead tissue and repair the hernia to prevent further complications.

In simple words: This code refers to a type of hernia in the abdomen where the tissue has died due to a loss of blood supply. The specific location of the hernia is not defined in this code.

Unspecified abdominal hernia with gangrene. This code signifies a hernia located in the abdomen that is not further specified, and it is accompanied by gangrene, which is the death of tissue due to lack of blood supply.

Example 1: A patient presents with severe abdominal pain, vomiting, and fever. Upon examination, a non-reducible hernia is discovered, with signs of discoloration and tissue necrosis indicating gangrene., A patient with a known history of abdominal hernia experiences sudden worsening of pain, with changes in skin color over the hernia site, suggesting compromised blood supply and possible gangrene., During an emergency surgery for an incarcerated hernia, the surgeon discovers that a portion of the herniated bowel has become gangrenous due to restricted blood flow.

Documentation should include the location of the hernia, the presence and extent of gangrene, the presence or absence of obstruction, and any associated symptoms such as pain, fever, or vomiting. Imaging studies, such as CT scans or ultrasounds, can help confirm the diagnosis and assess the severity of the condition.

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