Ventral hernia

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 9 more specific codes instead:

K43.0 Incisional hernia with obstruction, without gangrene
K43.1 Incisional hernia with gangrene
K43.2 Incisional hernia without obstruction or gangrene
K43.3 Parastomal hernia with obstruction, without gangrene
K43.4 Parastomal hernia with gangrene
K43.5 Parastomal hernia without obstruction or gangrene
K43.6 Other and unspecified ventral hernia with obstruction, without gangrene
K43.7 Other and unspecified ventral hernia with gangrene
K43.9 Ventral hernia without obstruction or gangrene

What has happened to this code

Every change the publisher made, from 2012 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

FY2012 Added to the draft code set draft Ventral hernia

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from the K40-K46 section Hernia (K40-K46)

Includes

acquired hernia
congenital [except diaphragmatic or hiatus] hernia
recurrent hernia

Note

Hernia with both gangrene and obstruction is classified to hernia with gangrene.