Diaphragmatic hernia with obstruction

This code signifies a diaphragmatic hernia that has resulted in an obstruction. This typically involves the protrusion of abdominal organs into the thoracic cavity through a defect in the diaphragm, leading to a blockage of the gastrointestinal tract or other affected organs. The obstruction can manifest as bowel obstruction, gastric outlet obstruction, or other forms of organ compromise.

Apply this code when documentation clearly indicates a diaphragmatic hernia accompanied by signs and symptoms of obstruction, such as vomiting, abdominal distension, inability to pass stool, or imaging evidence of a blocked lumen. This code is appropriate for both congenital and acquired diaphragmatic hernias that have progressed to an obstructive state.

• Ensure documentation explicitly states "obstruction" or describes obstructive symptoms/findings in the context of a diaphragmatic hernia.
• Do not use this code for diaphragmatic hernias without documented obstruction; use codes from the 756.6x series for congenital diaphragmatic hernia without obstruction or 553.3 for other diaphragmatic hernias without obstruction.
• Sequence this code as the primary diagnosis when the obstruction is the reason for the encounter, and consider additional codes for the specific type of obstruction (e.g., bowel obstruction) if further detail is provided.