2026 ICD-10-CM Diagnosis Code K43.0Incisional hernia with obstruction, without gangrene

ICD-10-CM Codes›K00–K95›K40-K46›K43

ICD-10-CM K43.0
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

K43.0 is a billable ICD-10-CM diagnosis code for incisional hernia with obstruction, without gangrene. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 393 through 395. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Abdominal hernia and Intestinal obstruction and ileus.

Code Identity

ICD-10-CM Code
K43.0
Billable Status
Yes — Valid for Submission
Code Describes
Incisional hernia with obstruction, without gangrene
Short Description
Incisional hernia with obstruction, without gangrene
Same as the full description in the CMS dataset.
Parent Code
K43
Ventral hernia

Code Classification

ChapterK00–K95Diseases of the digestive system
SectionK40-K46Hernia
CategoryK43Ventral hernia
This CodeK43.0Incisional hernia with obstruction, without gangrene

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Incisional hernia with obstruction
  • Irreducible incisional hernia
  • Irreducible ventral incisional hernia
  • Obstructed incisional ventral hernia
  • Obstructed recurrent hernia of anterior abdominal wall
  • Obstructed recurrent incisional hernia of anterior abdominal wall
  • Postoperative intestinal obstruction
  • Recurrent incisional hernia
  • Recurrent ventral incisional hernia
  • Strangulated hernia of anterior abdominal wall
  • Strangulated incisional hernia
  • Strangulated ventral incisional hernia
  • Ventral incisional hernia

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Incisional hernia causing obstruction, without gangrene
  • Incarcerated incisional hernia, without gangrene
  • Irreducible incisional hernia, without gangrene
  • Strangulated incisional hernia, without gangrene

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Hernia, hernial(acquired) (recurrent)
      • incisional
        • with
          • obstruction
    • Hernia, hernial(acquired) (recurrent)
      • ventral
        • incisional
          • with
            • obstruction
    • Incision, incisional
      • hernia
        • with
          • obstruction

Clinical ClassificationClinical

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

CCSR DIG010
Abdominal hernia
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR DIG012
Intestinal obstruction and ileus
Default principal diagnosis: inpatient No · outpatient No

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.

Convert K43.0 to ICD-9-CMHistory

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

ICD-9-CM
552.21 Obstr incisional 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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About K43.0Overview

Is K43.0 (Ventral hernia) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report incisional hernia with obstruction, without gangrene on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does K43.0 group to?

When incisional hernia with obstruction, without gangrene is the principal diagnosis on an inpatient stay, it groups to MS-DRG 393, 394, 395, with relative weights from 0.6490 to 1.5993 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of K43.0?

Under the General Equivalence Mappings, incisional hernia with obstruction, without gangrene converts to ICD-9-CM 552.21 (obstr incisional hernia). The mapping is a direct match.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.