Incarcerated Umbilical Hernia ICD-10-CM Codes | 2025

What incarcerated umbilical hernia ICD-10 codes can I use?

Umbilical hernias are part of digestive system disorders, as they involve the protrusion of abdominal contents through a weakened area of the abdominal wall.

An incarcerated umbilical hernia occurs when abdominal contents, such as the small intestine, become trapped through a weakness in the abdominal wall at the umbilical ring, leading to obstruction and potential complications like gangrene. Accurate coding is essential for effective treatment planning and insurance reimbursement.

If you're looking for incarcerated umbilical hernia ICD codes, please note that there are no ICD-10 codes that mention such. That doesn't mean there aren't any, though. Here are the ICD-10 codes that you can use:

K42.0 - Umbilical hernia with obstruction, without gangrene

Code K42.0 is used when a patient presents with an incarcerated umbilical hernia without gangrene, but with signs of intestinal obstruction.

Incarcerated umbilical hernias fit the bill because they're characterized by being stuck, hence incarcerated.

K42.1 - Umbilical hernia with gangrene

This is the same as Item 1, but this time, the umbilical hernia is accompanied by gangrene, which is a life-threatening problem. Gangrene is the death of tissue because of bacterial infections or the loss of blood flow to a particular area.

This code also applies to cases such as a gangrene irreducible umbilical hernia, where the hernia cannot be reduced and has compromised blood supply.

K42.9 – Umbilical hernia without obstruction or gangrene

The ICD-10-CM code K42.9 is used for diagnosing a simple umbilical hernia that does not present with obstruction or gangrene. In this case, the hernia involves the protrusion of abdominal contents through a weakness in the umbilical ring, but without any signs of trapped tissue, intestinal obstruction, or loss of blood supply (i.e., gangrene).

Are these incarcerated umbilical hernia ICD-10 codes billable?

Yes. The ICD-10 codes mentioned above for Incarcerated Umbilical Hernia are valid and billable. Accurate documentation of the hernia type like, presence of obstruction, and gangrene status is crucial for proper coding and billing.

Clinical information about incarcerated umbilical hernias

An umbilical hernia occurs when the abdominal muscles near the navel have an opening, and the abdominal lining, a part of the intestine, or fluids protrude. This may result in a noticeable bulge in the belly button area.

Incarcerated umbilical hernias often require surgical treatment to prevent complications such as intestinal obstruction or gangrene.

These abdominal contents can be pushed back, but there's a chance that they won't. If the contents become stuck, healthcare professionals refer to it as an incarcerated umbilical hernia. This is a dangerous type of hernia because the stuck contents will become obstructions to the blood supply.

Symptoms may include:

• A noticeable bulge in the umbilical area
• Severe pain or tenderness
• Signs of intestinal obstruction, such as nausea or vomiting
• Redness or discoloration over the hernia site

Diagnosis typically involves a physical examination and imaging studies. Treatment often requires hernia repair surgery to prevent complications.

Synonyms include

• Intestinal obstruction due to recurrent umbilical hernia
• Obstructed umbilical hernia
• Strangulated hernia of anterior abdominal wall
• Strangulated paraumbilical hernia
• Strangulated umbilical hernia
• Gangrene due to recurrent umbilical hernia
• Umbilical hernia with gangrene
• Umbilical hernia with gangrene and obstruction

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Other ICD-10-CM codes for abdominal hernias

In cases where hernias in other abdominal regions present with gangrene, the following codes are applicable:

• K43.0 – Incisional hernia with obstruction, without gangrene
• K43.1 – Incisional hernia with gangrene
• K43.2 – Incisional hernia without obstruction or gangrene
• K43.3 – Parastomal hernia with obstruction, without gangrene
• K43.4 – Parastomal hernia with gangrene
• K43.5 – Parastomal hernia without obstruction or gangrene
• K43.6 – Other and unspecified ventral hernia with obstruction, without gangrene
• K43.7 – Other and unspecified ventral hernia with gangrene
• K43.9 – Ventral hernia without obstruction or gangrene