Umbilical hernia
Meaning of umbilical hernia: For the purposes of this Statement of Principles, umbilical hernia means: (a) a protrusion of intra-abdominal tissue through an incompletely closed or weakened umbilical ring; and (b) includes peri-umbilical and para-umbilical hernias; and (c) excludes incisional hernia located at the umbilicus. (3) While umbilical hernia attracts ICD-10-AM code K42.0, K42.1 or K42.9, in applying this Statement of Principles the meaning of umbilical hernia is that given in subsection (2). (4) For subsection (3), a reference to an ICD-10-AM code is a reference to the code assigned to a particular kind of injury or disease in The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM), Ninth Edition, effective date of 1 July 2015, copyrighted by the Independent Hospital Pricing Authority, ISBN 978-1-76007-020-5.
Reasonable Hypothesis (RH) — Statement of Principles No. 93 of 2016
At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting umbilical hernia or death from umbilical hernia with the circumstances of a person's relevant service:
- (1)being obese at the time of the clinical onset of umbilical hernia;
Note: being obese is defined in the Schedule 1 - Dictionary.
- (2)having ascites, chronic ambulatory or automated peritoneal dialysis, extensive intra-abdominal neoplastic disease or mass, or being pregnant at the time of the clinical onset of umbilical hernia;
- (3)being treated with antiretroviral therapy for at least six months within the two years before the clinical onset of umbilical hernia;
- (4)being obese at the time of the clinical worsening of umbilical hernia;
Note: being obese is defined in the Schedule 1 - Dictionary.
- (5)having increased intra-abdominal pressure as specified at the time of the clinical worsening of umbilical hernia;
Note: increased intra-abdominal pressure as specified is defined in the Schedule 1 - Dictionary.
- (6)being treated with antiretroviral therapy for at least six months within the two years before the clinical worsening of umbilical hernia;
- (7)inability to obtain appropriate clinical management for umbilical hernia;
Aggravation-only factors: the factors in subsections 8(4) to 8(7) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.
Balance of Probabilities (BoP) — Statement of Principles No. 94 of 2016
5 factors
At least one of the following factors must exist before it can be said that, on the balance of probabilities, umbilical hernia or death from umbilical hernia is connected with the circumstances of a person's relevant service:
- (1)being obese at the time of the clinical onset of umbilical hernia;
Note: being obese is defined in the Schedule 1 - Dictionary.
- (2)having ascites, chronic ambulatory or automated peritoneal dialysis, extensive intra-abdominal neoplastic disease or mass, or being pregnant at the time of the clinical onset of umbilical hernia;
- (3)being obese at the time of the clinical worsening of umbilical hernia;
Note: being obese is defined in the Schedule 1 - Dictionary.
- (4)having increased intra-abdominal pressure as specified at the time of the clinical worsening of umbilical hernia;
Note: increased intra-abdominal pressure as specified is defined in the Schedule 1 - Dictionary.
- (5)inability to obtain appropriate clinical management for umbilical hernia;
Aggravation-only factors: the factors in subsections 8(3) to 8(5) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.
