Is ICD-10-CM code K40-K46 billable?

No, K40-K46 (Hernia (K40-K46)) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code K40-K46 belong to?

K40-K46 belongs to Chapter 11 of the ICD-10-CM tabular list: K00–K95 (Diseases of the Digestive System).

K40-K46

Non-Billable

ChapterK00–K95

Rankblock

Description

Hernia (K40-K46)

About ICD-10-CM code K40-K46

Under K00-K95 Diseases of the Digestive System, ICD-10-CM code K40-K46 describes Hernia (K40-K46). This code cannot be billed directly because more specific child codes exist beneath it.

Use a more specific code (0 billable, 7 non-billable)

K40Inguinal herniahas subcodes K41Femoral herniahas subcodes K42Umbilical herniahas subcodes K43Ventral herniahas subcodes K44Diaphragmatic herniahas subcodes K45Other abdominal herniahas subcodes K46Unspecified abdominal herniahas subcodes

Metadata & Insights

•Non-billable category (requires more specific sub-code).
•Chapter 11: Diseases of the Digestive System (K00-K95).

CH11 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)

certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Instructional Notes

Includes

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

Clinical Hierarchy

BillableHas subcodes

CH11Diseases of the digestive system (K00-K95)

K40-K46Hernia (K40-K46)Not billable

K40Inguinal herniaSubcodes

K41Femoral herniaSubcodes

K42Umbilical herniaSubcodes

K43Ventral herniaSubcodes

K44Diaphragmatic herniaSubcodes

K45Other abdominal herniaSubcodes

K46Unspecified abdominal herniaSubcodes

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to K40-K46:

chapterCH11

Diseases of the digestive system (K00-K95)

View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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