ICD-10-CM Code K45.0

Other specified abdominal hernia with obstruction, without gangrene

Version 2020 Billable Code

Valid for Submission

K45.0 is a billable code used to specify a medical diagnosis of other specified abdominal hernia with obstruction, without gangrene. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code K45.0 might also be used to specify conditions or terms like gluteal hernia, gluteal hernia, hernia through lesser sciatic foramen, irreducible gluteal hernia, irreducible ischiorectal hernia, irreducible lumbar hernia, etc

ICD-10:K45.0
Short Description:Oth abdominal hernia with obstruction, without gangrene
Long Description:Other specified abdominal hernia with obstruction, without gangrene

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 guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code K45.0:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Other specified abdominal hernia causing obstruction
  • Other specified incarcerated abdominal hernia
  • Other specified irreducible abdominal hernia
  • Other specified strangulated abdominal hernia

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code K45.0 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Gluteal hernia
  • Gluteal hernia
  • Hernia through lesser sciatic foramen
  • Irreducible gluteal hernia
  • Irreducible ischiorectal hernia
  • Irreducible lumbar hernia
  • Irreducible obturator hernia
  • Irreducible perineal hernia
  • Irreducible sciatic hernia
  • Ischiatic hernia
  • Ischiatic hernia
  • Ischiatic hernia
  • Ischiatic hernia
  • Ischiatic hernia with obstruction
  • Ischiorectal hernia
  • Ischiorectal hernia
  • Lumbar hernia
  • Lumbar hernia
  • Lumbar hernia with obstruction
  • Obstructed gluteal hernia
  • Obstructed internal hernia
  • Obstructed ischiorectal hernia
  • Obstruction co-occurrent and due to perineal hernia
  • Obturator hernia
  • Obturator hernia
  • Obturator hernia with obstruction
  • Posterior perineal hernia
  • Posterior perineal hernia
  • Retroperitoneal hernia
  • Retroperitoneal hernia
  • Retroperitoneal hernia - irreducible
  • Retroperitoneal hernia with obstruction

Diagnostic Related Groups

The ICD-10 code K45.0 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 393 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC
  • 394 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC
  • 395 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC

Convert K45.0 to ICD-9

  • 552.8 - Hernia, site NEC w obstr

Code Classification

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


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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Intestinal Obstruction

An intestinal obstruction occurs when food or stool cannot move through the intestines. The obstruction can be complete or partial. There are many causes. The most common are adhesions, hernias, cancers, and certain medicines.

Symptoms include

  • Severe abdominal pain or cramping
  • Vomiting
  • Bloating
  • Loud bowel sounds
  • Swelling of the abdomen
  • Inability to pass gas
  • Constipation

A complete intestinal obstruction is a medical emergency. It often requires surgery.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases


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