2026 ICD-10-CM Diagnosis Code K43.6Other and unspecified ventral hernia with obstruction, without gangrene

ICD-10-CM Codes›K00–K95›K40-K46›K43

ICD-10-CM K43.6
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

K43.6 is a billable ICD-10-CM diagnosis code for other and unspecified ventral 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
K43.6
Billable Status
Yes — Valid for Submission
Code Describes
Other and unspecified ventral hernia with obstruction, without gangrene
Short Description
Other and unsp ventral hernia with obstruction, w/o gangrene
Parent Code
K43
Ventral hernia

Code Classification

ChapterK00–K95Diseases of the digestive system
SectionK40-K46Hernia
CategoryK43Ventral hernia
This CodeK43.6Other and unspecified ventral hernia with obstruction, without gangrene

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Epigastric hernia
  • Irreducible epigastric hernia
  • Irreducible Spigelian hernia
  • Obstructed epigastric hernia
  • Obstructed Spigelian hernia
  • Spigelian hernia
  • Strangulated epigastric hernia
  • Strangulated hernia of anterior abdominal wall

Tabular List NotesGuidance

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

Inclusion Terms

  • Epigastric hernia causing obstruction, without gangrene
  • Hypogastric hernia causing obstruction, without gangrene
  • Incarcerated epigastric hernia without gangrene
  • Incarcerated hypogastric hernia without gangrene
  • Incarcerated midline hernia without gangrene
  • Incarcerated spigelian hernia without gangrene
  • Incarcerated subxiphoid hernia without gangrene
  • Irreducible epigastric hernia without gangrene
  • Irreducible hypogastric hernia without gangrene
  • Irreducible midline hernia without gangrene
  • Irreducible spigelian hernia without gangrene
  • Irreducible subxiphoid hernia without gangrene
  • Midline hernia causing obstruction, without gangrene
  • Spigelian hernia causing obstruction, without gangrene
  • Strangulated epigastric hernia without gangrene
  • Strangulated hypogastric hernia without gangrene
  • Strangulated midline hernia without gangrene
  • Strangulated spigelian hernia without gangrene
  • Strangulated subxiphoid hernia without gangrene
  • Subxiphoid hernia causing obstruction, 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)
      • ventral
        • with
          • obstruction
    • Hernia, hernial(acquired) (recurrent)
      • ventral
        • specified NEC
          • 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

  • Epigastric Hernia

    protrusion of abdominal cavity contents or pre-peritoneal fat through the abdominal wall between the umbilicus and the xiphoid process.

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 K43.6 to ICD-9-CMHistory

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

ICD-9-CM
552.20 Obstr ventral hernia NOS
Approximate The match is approximate rather than exact.
ICD-9-CM
552.29 Obstr ventral hernia NEC
Approximate The match is approximate rather than exact.

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 K43.6Overview

Is K43.6 (Ventral hernia) a billable code?

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

What MS-DRG does K43.6 group to?

When other and unspecified ventral 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 K43.6?

Under the General Equivalence Mappings, other and unspecified ventral hernia with obstruction, without gangrene converts to ICD-9-CM 552.20 (obstr ventral hernia NOS) and 552.29 (obstr ventral hernia NEC). The mapping is approximate, so confirm the match fits the documentation.

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.