Femoral hernia
In Hernia (K40-K46), chapter 11: Diseases of the Digestive System
12 billable codes under K41: 4 are an MCC, 4 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
Advertisements
Instructional notes
Also applies, from Hernia (K40-K46)
These notes sit on K40-K46 and apply to every code under it, including K41.
Includes: conditions that are coded here
- acquired hernia
- congenital [except diaphragmatic or hiatus] hernia
- recurrent hernia
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
There are no chapter-specific rules for Chapter 11 yet, so the general rules in Section I.B apply.
All codes under K41
K41 can't be used on a claim. Pick a billable code below; grey headings group them.
- K41.0Bilateral femoral hernia, with obstruction, without gangrene
- K41.00Bilateral femoral hernia, with obstruction, without gangrene, not specified as recurrent
- K41.01Bilateral femoral hernia, with obstruction, without gangrene, recurrent
- K41.1Bilateral femoral hernia, with gangrene
- K41.10Bilateral femoral hernia, with gangrene, not specified as recurrent
- K41.11Bilateral femoral hernia, with gangrene, recurrent
- K41.2Bilateral femoral hernia, without obstruction or gangrene
- K41.20Bilateral femoral hernia, without obstruction or gangrene, not specified as recurrent
- K41.21Bilateral femoral hernia, without obstruction or gangrene, recurrent
- K41.3Unilateral femoral hernia, with obstruction, without gangrene
- K41.30Unilateral femoral hernia, with obstruction, without gangrene, not specified as recurrent
- K41.31Unilateral femoral hernia, with obstruction, without gangrene, recurrent
- K41.4Unilateral femoral hernia, with gangrene
- K41.40Unilateral femoral hernia, with gangrene, not specified as recurrent
- K41.41Unilateral femoral hernia, with gangrene, recurrent
- K41.9Unilateral femoral hernia, without obstruction or gangrene
- K41.90Unilateral femoral hernia, without obstruction or gangrene, not specified as recurrent
- K41.91Unilateral femoral hernia, without obstruction or gangrene, recurrent
K41 MS-DRGs
As the principal diagnosis, the billable codes under K41 group to MS-DRG 393, 394, 395, 791, or 793 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 393 Other Digestive System Diagnoses with MCC (12 of 12 codes)
- DRG 394 Other Digestive System Diagnoses with CC (12 of 12 codes)
- DRG 395 Other Digestive System Diagnoses without CC/MCC (12 of 12 codes)
- DRG 791 Prematurity with Major Problems (4 of 12 codes)
- DRG 793 Full Term Neonate with Major Problems (4 of 12 codes)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
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:
Read more about hernia on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.