K42 - Umbilical hernia
| ICD-10: | K42 |
| Short Description: | Umbilical hernia |
| Long Description: | Umbilical hernia |
| Status: | Not Valid for Submission |
| Version: | ICD-10-CM 2023 |
| Code Classification: |
K42 is a non-specific and non-billable ICD-10 code code, consider using a code with a higher level of specificity for a diagnosis of umbilical hernia. The code is not specific and is NOT valid for the year 2023 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Clinical Information
- Gangrenous Umbilical Hernia-. a protrusion of necrotic tissue through the abdominal wall under the skin near the umbilicus.
- Umbilical Hernia-. protrusion of the abdominal cavity contents through the abdominal wall at the umbilicus.
- Umbilical Hernia with Obstruction without Mention of Gangrene-. the protrusion of contents of the abdominal cavity through the abdominal wall, at the site of the umbilicus, which results in obstruction, without mention of necrosis of the herniated contents.
- Umbilical Hernia without Mention of Obstruction or Gangrene-. the protrusion of contents of the abdominal cavity through the abdominal wall, at the site of the umbilicus, without mention of obstruction or necrosis of the herniated contents.
Specific Coding for Umbilical hernia
Non-specific codes like K42 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for umbilical hernia:
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to this diagnosis code:
Includes
IncludesThis note appears immediately under a three character code title to further define, or give examples of, the content of the category.
- paraumbilical hernia
Type 1 Excludes
Type 1 ExcludesA type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- omphalocele Q79.2
Patient Education
Hernia
A hernia happens when part of an internal organ or tissue bulges through a weak area of muscle. Most hernias are in the abdomen.
There are several types of hernias, including:
- Inguinal, in the groin. This is the the most common type.
- Umbilical, around the belly button
- Incisional, through a scar
- Hiatal, a small opening in the diaphragm that allows the upper part of the stomach to move up into the chest.
- Congenital diaphragmatic, a birth defect that needs surgery
Hernias are common. They can affect men, women, and children. A combination of muscle weakness and straining, such as with heavy lifting, might contribute. Some people are born with weak abdominal muscles and may be more likely to get a hernia.
Treatment is usually surgery to repair the opening in the muscle wall. Untreated hernias can cause pain and health problems.
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Code History
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)
