Diaphragmatic hernia (K44)

ICD-10 codes for diaphragmatic hernia cover different types of this condition where organs push through the diaphragm. These codes help specify whether the hernia is complicated by obstruction, gangrene, or neither.

The general code K44 represents a diaphragmatic hernia. If the hernia involves obstruction without gangrene, such as an incarcerated or obstructed paraesophageal hernia, the correct code is K44.0. This includes conditions like rolling hiatus hernia with gastric volvulus. When the hernia leads to gangrene, indicated by tissue death such as gastric necrosis, K44.1 is used. This code captures more severe cases like gangrenous paraesophageal hernia with obstruction. Lastly, K44.9 is assigned when the diaphragmatic hernia occurs without obstruction or gangrene. This code also covers sliding or mixed hiatus hernias and those accompanied by gastroesophageal reflux disease (GERD). Employing the appropriate ICD-10 code for diaphragmatic hernia ensures clarity in medical records for various presentations, from uncomplicated cases to critical obstructed or gangrenous forms.