2022 ICD-10-CM Code K40

Inguinal hernia

Version 2021

Not Valid for Submission

ICD-10:K40
Short Description:Inguinal hernia
Long Description:Inguinal hernia

Code Classification

K40 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of inguinal hernia. The code is not specific and is NOT valid for the year 2022 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding for Inguinal hernia

Non-specific codes like K40 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for inguinal hernia:

  • NON-BILLABLE CODE - K40.0 for Bilateral inguinal hernia, with obstruction, without gangrene
  • BILLABLE CODE - Use K40.00 for Bilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent
  • BILLABLE CODE - Use K40.01 for Bilateral inguinal hernia, with obstruction, without gangrene, recurrent
  • NON-BILLABLE CODE - K40.1 for Bilateral inguinal hernia, with gangrene
  • BILLABLE CODE - Use K40.10 for Bilateral inguinal hernia, with gangrene, not specified as recurrent
  • BILLABLE CODE - Use K40.11 for Bilateral inguinal hernia, with gangrene, recurrent
  • NON-BILLABLE CODE - K40.2 for Bilateral inguinal hernia, without obstruction or gangrene
  • BILLABLE CODE - Use K40.20 for Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent
  • BILLABLE CODE - Use K40.21 for Bilateral inguinal hernia, without obstruction or gangrene, recurrent
  • NON-BILLABLE CODE - K40.3 for Unilateral inguinal hernia, with obstruction, without gangrene
  • BILLABLE CODE - Use K40.30 for Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent
  • BILLABLE CODE - Use K40.31 for Unilateral inguinal hernia, with obstruction, without gangrene, recurrent
  • NON-BILLABLE CODE - K40.4 for Unilateral inguinal hernia, with gangrene
  • BILLABLE CODE - Use K40.40 for Unilateral inguinal hernia, with gangrene, not specified as recurrent
  • BILLABLE CODE - Use K40.41 for Unilateral inguinal hernia, with gangrene, recurrent
  • NON-BILLABLE CODE - K40.9 for Unilateral inguinal hernia, without obstruction or gangrene
  • BILLABLE CODE - Use K40.90 for Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent
  • BILLABLE CODE - Use K40.91 for Unilateral inguinal hernia, without obstruction or gangrene, recurrent

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code K40:


Includes

Includes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.

Clinical Information

Information for Patients


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

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]

Inguinal Hernia Overview of inguinal hernias, in which contents of the abdomen bulge through a weak area in the lower abdominal wall, and diagnosis and treatment of hernias.
[Learn More in MedlinePlus]

Code History

  • 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 (First year ICD-10-CM implemented into the HIPAA code set)