2025 ICD-10-CM code K46.9
(Active) Effective Date: N/A Diseases of the digestive system - Hernia (K40-K46) Diseases of the digestive system (K00-K95) Feed
Unspecified abdominal hernia without obstruction or gangrene.
Medical necessity depends on the specific circumstances, such as the size and location of the hernia, presence of symptoms, and potential complications.
- Diseases of the digestive system (K00-K95)
- Hernia (K40-K46)Note: Hernia with both gangrene and obstruction is classified to hernia with gangrene.Includes: acquired hernia, congenital [except diaphragmatic or hiatus] hernia, recurrent hernia
In simple words: An abdominal hernia is when part of an organ pushes through an opening or weak spot in the abdominal wall. This code is used when the exact location of the hernia isn't specified and there's no blockage or tissue damage.
Unspecified abdominal hernia without obstruction or gangrene. Includes: enterocele, epiplocele, hernia NOS, interstitial hernia, intestinal hernia, intra-abdominal hernia. Excludes1: vaginal enterocele (N81.5)
Example 1: A patient presents with a bulge in their abdomen, determined to be a hernia. The exact location cannot be clearly identified, and there is no evidence of obstruction or gangrene. K46.9 is used., During a routine physical exam, a small, reducible hernia is discovered. The patient is asymptomatic, and the location is not specified. K46.9 would be appropriate., A patient has a history of an abdominal hernia repair. They now present with a new bulge near the old surgical site.If the specific type of hernia can't be determined and there's no obstruction or gangrene, K46.9 is applicable.
Documentation should include the location of the hernia (if known), the presence or absence of obstruction and gangrene, and any associated symptoms.
- Specialties:General surgery, gastroenterology.
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center