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  6. 2024 ICD-10-CM Code K43
Version 2024
Non-Billable Code

2024 ICD-10-CM Diagnosis Code K43

Ventral hernia

ICD-10-CM Code:
K43
ICD-10 Code for:
Ventral hernia
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

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 2024 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 Applicable to 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-CM codes with a higher level of specificity when coding for ventral hernia:

  • 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 - BILLABLE CODE

Clinical Information

  • Ventral Hernia

    the protrusion of abdominal cavity contents through the anterior abdominal wall.

  • Ventral Hernia with Obstruction without Mention of Gangrene

    the protrusion of contents of the abdominal cavity through the abdominal wall, at the site of the linea alba, which results in obstruction, without mention of necrosis of the herniated contents.

  • Ventral Hernia without Mention of Obstruction or Gangrene

    the protrusion of contents of the abdominal cavity through the abdominal wall, at the site of the linea alba, without mention of obstruction or necrosis of the herniated contents.

Patient Education


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:

  • Inguinal, in the groin. This is the the most common type.
  • Umbilical, around the belly button
  • Incisional, through a scar
  • Hiatal, a small opening in the diaphragm that allows the upper part of the stomach to move up into the chest.
  • Congenital diaphragmatic, a birth defect that needs surgery

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]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • 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. This was the first year ICD-10-CM was implemented into the HIPAA code set.