ICD-10 Code K41.20 – Bilateral femoral hernia, without obstruction or gangrene, not specified as recurrent (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code K41.20 – Bilateral femoral hernia, without obstruction or gangrene, not specified as recurrent
What it is
K41.20 identifies a femoral hernia on both sides of the groin, with no obstruction or gangrene and no documentation that it is recurrent. Use it when the record clearly states bilateral femoral hernias.
Clinical signs
Clinical features vary; refer to documentation. Typical findings include groin swelling or a reducible bulge below the inguinal ligament, sometimes with discomfort on standing, coughing, or straining.
When to use this code
Use K41.20 when the provider documents bilateral femoral hernias and does not describe bowel obstruction, strangulation, or gangrene. It also fits when recurrence is not mentioned. If the note is unclear about laterality or complications, check documentation before coding.
Do not use for
Do not use this code for unilateral femoral hernia, recurrent femoral hernia, or any hernia with obstruction or gangrene. If the hernia type is inguinal or the documentation is incomplete, choose a different code or verify the record.
Coding tip
Confirm both laterality and complication status in the operative note or assessment before assigning K41.20.