2021 ICD-10-CM Code K43

Ventral hernia

Version 2021

Not Valid for Submission

K43 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of ventral hernia. 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:K43
Short Description:Ventral hernia
Long Description:Ventral hernia

Code Classification

Specific Coding for Ventral hernia

Non-specific codes like K43 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 ventral hernia:

  • BILLABLE CODE - Use K43.0 for Incisional hernia with obstruction, without gangrene
  • BILLABLE CODE - Use K43.1 for Incisional hernia with gangrene
  • BILLABLE CODE - Use K43.2 for Incisional hernia without obstruction or gangrene
  • BILLABLE CODE - Use K43.3 for Parastomal hernia with obstruction, without gangrene
  • BILLABLE CODE - Use K43.4 for Parastomal hernia with gangrene
  • BILLABLE CODE - Use K43.5 for Parastomal hernia without obstruction or gangrene
  • BILLABLE CODE - Use K43.6 for Other and unspecified ventral hernia with obstruction, without gangrene
  • BILLABLE CODE - Use K43.7 for Other and unspecified ventral hernia with gangrene
  • BILLABLE CODE - Use K43.9 for Ventral hernia without obstruction or gangrene

Clinical Information

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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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)