2026 ICD-10-CM Diagnosis Code K43Ventral hernia

ICD-10-CM Codes›K00–K95›K40-K46›K43

ICD-10-CM K43
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

K43 is a non-billable ICD-10-CM category code for ventral hernia, so it cannot be submitted on claims. Use a more specific code from this category instead, such as K43.0, K43.1, K43.2, and K43.3.

Code Identity

ICD-10-CM Code
K43
Billable Status
No — Non-Billable Category
Code Describes
Ventral hernia
Chapter
K40-K46
Hernia

Code Classification

ChapterK00–K95Diseases of the digestive system
SectionK40-K46Hernia
CategoryK43Ventral hernia
This CodeK43Ventral hernia

Specific Coding for Ventral herniaOverview

Non-specific codes like K43 require more characters. Use one of these billable codes instead:

  • Use K43.0 for Incisional hernia with obstruction, without gangrene

  • Use K43.1 for Incisional hernia with gangrene

  • Use K43.2 for Incisional hernia without obstruction or gangrene

  • Use K43.3 for Parastomal hernia with obstruction, without gangrene

  • Use K43.4 for Parastomal hernia with gangrene

  • Use K43.5 for Parastomal hernia without obstruction or gangrene

  • Use K43.6 for Other and unspecified ventral hernia with obstruction, without gangrene

  • Use K43.7 for Other and unspecified ventral hernia with gangrene

  • Use K43.9 for Ventral hernia without obstruction or gangrene

Clinical InformationClinical

  • 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 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

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About K43Overview

Is K43 (Ventral hernia) a billable code?

No. This is a category header that groups the codes for ventral hernia, and headers cannot be submitted on claims. Claims for ventral hernia need a more specific code from this category, such as K43.0, K43.1, and K43.2.