M25.572 - Pain in left ankle and joints of left foot

Clinical Definition

A new inguinal hernia on the right side that has no evidence of obstruction or gangrene. The hernia protrudes through the inguinal canal but can be manually pushed back into the abdomen (reducible).

Documentation Requirements

• Must specify:

  • Laterality (right side)

  • Reducibility status (reducible)

  • New vs. recurrent (new)

  • Unilateral vs. bilateral

  • Absence of gangrene or obstruction

  • Must document physical examination findings supporting reducibility

  • Location (inguinal)

Common Synonyms

• "Groin hernia"

• "Sports hernia"

• "Rupture in the groin"

• "Bulge in groin area"

Coding Conflicts

Excludes1:

• Inguinal hernia with gangrene (K40.4-)

• Inguinal hernia with obstruction (K40.3-)

Excludes2:

• Femoral hernia (K41.-)

• Incisional hernia (K43.-)

Scribing.io Automation

The AI scribe automatically detects keywords indicating:

• Anatomical location ("inguinal", "groin")

• Side affected ("right", "right side", "right inguinal region")

• Reducibility mentions ("reduces with pressure", "manually reducible", "can be pushed back")

• Absence of complications ("no obstruction", "no gangrene", "uncomplicated")

• Creates structured note with mandatory elements for K40.90 code validation