Which classification indicates a hernia that is both incarcerated and strangulated?

The correct classification for a hernia that is both incarcerated and strangulated is categorized as an obstructed hernia. An incarcerated hernia occurs when the herniated tissue becomes trapped and cannot be pushed back into place, which can lead to strangulation—a condition where the blood supply is cut off to the tissues involved. This is a critical and potentially life-threatening situation.

In the context of coding, an obstructed hernia signifies that there is an obstruction present, which aligns with the definitions of incarceration (trapped) and strangulation (compromised blood flow). Therefore, classifying this condition as an obstructed hernia accurately communicates the severity and complexity of the situation for medical records and billing purposes.

This classification is essential for proper coding and treatment protocols, as it indicates that immediate medical intervention is necessary, distinct from other classifications that do not imply such urgency or complication.