2027 ICD-10-CM Diagnosis Code K41.20Bilateral femoral hernia, without obstruction or gangrene, not specified as recurrent

ICD-10-CM Codes›K00–K95›K40-K46›K41

ICD-10-CM K41.20
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

K41.20 is a billable ICD-10-CM diagnosis code for bilateral femoral hernia, without obstruction or gangrene, not specified as recurrent. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 393 through 395. Coders also document this condition as bilateral femoral hernia. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Abdominal hernia.

Code Identity

ICD-10-CM Code
K41.20
Billable Status
Yes — Valid for Submission
Code Describes
Bilateral femoral hernia, without obstruction or gangrene, not specified as recurrent
Short Description
Bi femoral hernia, w/o obst or gangrene, not spcf as recur
Parent Code
K41.2
Bilateral femoral hernia, without obstruction or gangrene

Code Classification

ChapterK00–K95Diseases of the digestive system
SectionK40-K46Hernia
CategoryK41Femoral hernia
This CodeK41.20Bilateral femoral hernia, without obstruction or gangrene, not specified as recurrent

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bilateral femoral hernia

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to K41.20: 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.

From Block K40-K46 Hernia applies to 45 codes
  • acquired hernia
  • congenital [except diaphragmatic or hiatus] hernia
  • recurrent hernia

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Bilateral femoral hernia NOS

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.

From Chapter 11 (K00-K95) Diseases of the digestive system applies to 863 codes
  • 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.

From Block K40-K46 Hernia applies to 45 codes
  • 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 K41.20, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming K41.20: its condition is not part of those codes, and both may be reported when the patient has both.

  • K56.7 Ileus, unspecified
    intestinal obstruction with hernia (K40-K46) names K40-K46, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR DIG010
Abdominal hernia
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Hernia, Femoral

    a groin hernia occurring inferior to the inguinal ligament and medial to the femoral vein and femoral artery. the femoral hernia sac has a small neck but may enlarge considerably when it enters the subcutaneous tissue of the thigh. it is caused by defects in the abdominal wall.

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.

Convert K41.20 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
553.02 Bilateral femoral hernia
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About K41.20Overview

Is K41.20 (Bilateral femoral hernia, without obstruction or gangrene) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report bilateral femoral hernia, without obstruction or gangrene, not specified as recurrent on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does K41.20 group to?

When bilateral femoral hernia, without obstruction or gangrene, not specified as recurrent is the principal diagnosis on an inpatient stay, it groups to MS-DRG 394, 395, 393, with relative weights from 0.6379 to 1.5877 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of K41.20?

Under the General Equivalence Mappings, bilateral femoral hernia, without obstruction or gangrene, not specified as recurrent converts to ICD-9-CM 553.02 (bilateral femoral hernia). The mapping is a direct match.