2021 ICD-10-CM Code K40.3

Unilateral inguinal hernia, with obstruction, without gangrene

Version 2021

Not Valid for Submission

K40.3 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of unilateral inguinal hernia, with obstruction, without gangrene. The code is not specific and is NOT valid for the year 2021 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.

ICD-10:K40.3
Short Description:Unilateral inguinal hernia, with obstruction, w/o gangrene
Long Description:Unilateral inguinal hernia, with obstruction, without gangrene

Code Classification

Specific Coding for Unilateral inguinal hernia, with obstruction, w/o gangrene

Non-specific codes like K40.3 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 unilateral inguinal hernia, with obstruction, w/o 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

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 K40.3:


Inclusion Terms

Inclusion Terms
These 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.

Information for Patients


Hernia

Also called: Enterocele

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.


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Intestinal Obstruction

Also called: Bowel obstruction, Intestinal volvulus, Paralytic ileus

An intestinal obstruction occurs when food or stool cannot move through the intestines. The obstruction can be complete or partial. There are many causes. The most common are adhesions, hernias, cancers, and certain medicines.

Symptoms include

A complete intestinal obstruction is a medical emergency. It often requires surgery.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases


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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)