2027 ICD-10-CM Diagnosis Code K40Inguinal hernia
K40 is a non-billable ICD-10-CM category code for inguinal hernia, so it cannot be submitted on claims. Use a more specific code from this category instead, such as K40.00, K40.01, K40.10, and K40.11.
Code Identity
Code Classification
Specific Coding for Inguinal herniaOverview
Non-specific codes like K40 require more characters. Use one of these billable codes instead:
K40.0 for Bilateral inguinal hernia, with obstruction, without gangrene
Use K40.00 for Bilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent
Use K40.01 for Bilateral inguinal hernia, with obstruction, without gangrene, recurrent
K40.1 for Bilateral inguinal hernia, with gangrene
Use K40.10 for Bilateral inguinal hernia, with gangrene, not specified as recurrent
Use K40.11 for Bilateral inguinal hernia, with gangrene, recurrent
K40.2 for Bilateral inguinal hernia, without obstruction or gangrene
Use K40.20 for Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent
Use K40.21 for Bilateral inguinal hernia, without obstruction or gangrene, recurrent
K40.3 for Unilateral inguinal hernia, with obstruction, without gangrene
Use K40.30 for Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent
Use K40.31 for Unilateral inguinal hernia, with obstruction, without gangrene, recurrent
K40.4 for Unilateral inguinal hernia, with gangrene
Use K40.40 for Unilateral inguinal hernia, with gangrene, not specified as recurrent
Use K40.41 for Unilateral inguinal hernia, with gangrene, recurrent
K40.9 for Unilateral inguinal hernia, without obstruction or gangrene
Use K40.90 for Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent
Use K40.91 for Unilateral inguinal hernia, without obstruction or gangrene, recurrent
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to K40: its own notes plus those printed at block K40-K46 and Chapter 11. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- bubonocele
- direct inguinal hernia
- double inguinal hernia
- indirect inguinal hernia
- inguinal hernia NOS
- oblique inguinal hernia
- scrotal hernia
- acquired hernia
- congenital [except diaphragmatic or hiatus] hernia
- recurrent hernia
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- 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)
Notes
General instructions on how these codes are used.
- Hernia with both gangrene and obstruction is classified to hernia with gangrene.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name K40, its category, or a range that includes it.
Clinical InformationClinical
Hernia, Inguinal
an abdominal hernia with an external bulge in the groin region. it can be classified by the location of herniation. indirect inguinal hernias occur through the internal inguinal ring. direct inguinal hernias occur through defects in the abdominal wall (transversalis fascia) in hesselbach's triangle. the former type is commonly seen in children and young adults; the latter in adults.
Patient EducationClinical
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.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About K40Overview
What is the ICD-10 code for inguinal hernia?
K40 is the ICD-10-CM category for inguinal hernia, but it is a non-billable header: claims need a more specific code from this category, listed on this page.