2024 ICD-10-CM Diagnosis Code K43.1
Incisional hernia with gangrene
- ICD-10-CM Code:
- K43.1
- ICD-10 Code for:
- Incisional hernia with gangrene
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
K43.1 is a billable diagnosis code used to specify a medical diagnosis of incisional hernia with gangrene. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Incisional hernia with gangrene
- Incisional hernia with obstruction
- Incisional hernia with obstruction
- Incisional ventral hernia with gangrene
- Obstructed incisional hernia with gangrene
- Obstructed incisional ventral hernia
- Obstructed ventral incisional hernia with gangrene
- Recurrent hernia of anterior abdominal wall with gangrene
- Recurrent ventral incisional hernia
- Recurrent ventral incisional hernia with gangrene
- Ventral incisional hernia
- Ventral incisional hernia
- Ventral incisional hernia
Clinical Classification
Clinical Category | CCSR Category Code | Inpatient Default CCSR | Outpatient Default CCSR |
---|---|---|---|
Abdominal hernia | DIG010 | Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis. | Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis. |
Gangrene | CIR028 | N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis. | N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis. |
Clinical Information
Ventral Hernia
the protrusion of abdominal cavity contents through the anterior abdominal wall.Ventral Hernia with Obstruction without Mention of Gangrene
the protrusion of contents of the abdominal cavity through the abdominal wall, at the site of the linea alba, which results in obstruction, without mention of necrosis of the herniated contents.Ventral Hernia without Mention of Obstruction or Gangrene
the protrusion of contents of the abdominal cavity through the abdominal wall, at the site of the linea alba, without mention of obstruction or necrosis of the herniated contents.
Tabular List of Diseases and Injuries
The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.
Inclusion Terms
Inclusion TermsThese terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Gangrenous incisional hernia
Index to Diseases and Injuries References
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
- - Hernia, hernial (acquired) (recurrent) - K46.9
- - incisional - K43.2
- - with
- - gangrene (and obstruction) - K43.1
- - with
- - ventral - K43.9
- - incisional - K43.2
- - with
- - gangrene (and obstruction) - K43.1
- - with
- - incisional - K43.2
- - incisional - K43.2
- - Incision, incisional
- - hernia - K43.2
- - with
- - gangrene (and obstruction) - K43.1
- - with
- - hernia - K43.2
Convert K43.1 to ICD-9-CM
- ICD-9-CM Code: 551.21 - Gangr incisional hernia
Patient Education
Gangrene
Gangrene is the death of tissues in your body. It happens when a part of your body loses its blood supply. Gangrene can happen on the surface of the body, such as on the skin, or inside the body, in muscles or organs. Causes include:
- Serious injuries
- Problems with blood circulation, such as atherosclerosis and peripheral arterial disease
- Diabetes
Skin symptoms may include a blue or black color, pain, numbness, and sores that produce a foul-smelling discharge. If the gangrene is internal, you may run a fever and feel unwell, and the area may be swollen and painful.
Gangrene is a serious condition. It needs immediate attention. Treatment includes surgery, antibiotics, and oxygen therapy. In severe cases an amputation may be necessary.
[Learn More in MedlinePlus]
Hernia
A hernia happens when part of an internal organ or tissue bulges through a weak area of muscle. Most hernias are in the abdomen.
There are several types of hernias, including:
- Inguinal, in the groin. This is the the most common type.
- Umbilical, around the belly button
- Incisional, through a scar
- Hiatal, a small opening in the diaphragm that allows the upper part of the stomach to move up into the chest.
- Congenital diaphragmatic, a birth defect that needs surgery
Hernias are common. They can affect men, women, and children. A combination of muscle weakness and straining, such as with heavy lifting, might contribute. Some people are born with weak abdominal muscles and may be more likely to get a hernia.
Treatment is usually surgery to repair the opening in the muscle wall. Untreated hernias can cause pain and health problems.
[Learn More in MedlinePlus]
Code History
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.