All ICD10 Codes

K43

Non-Billable
ChapterK00–K95
Rankcategory
Official Description

Ventral hernia

Use a more specific code (9 billable)
K43.0Incisional hernia with obstruction, without gangreneK43.1Incisional hernia with gangreneK43.2Incisional hernia without obstruction or gangreneK43.3Parastomal hernia with obstruction, without gangreneK43.4Parastomal hernia with gangreneK43.5Parastomal hernia without obstruction or gangreneK43.6Other and unspecified ventral hernia with obstruction, without gangreneK43.7Other and unspecified ventral hernia with gangreneK43.9Ventral hernia without obstruction or gangrene
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)

K40-K46 Parent Instructions

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)
K43Ventral herniaNot billable
K43.0Incisional hernia with obstruction, without gangreneBillable
K43.1Incisional hernia with gangreneBillable
K43.2Incisional hernia without obstruction or gangreneBillable
K43.3Parastomal hernia with obstruction, without gangreneBillable
K43.4Parastomal hernia with gangreneBillable
K43.5Parastomal hernia without obstruction or gangreneBillable
K43.6Other and unspecified ventral hernia with obstruction, without gangreneBillable
K43.7Other and unspecified ventral hernia with gangreneBillable
K43.9Ventral hernia without obstruction or gangreneBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to K43:

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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