Ventral hernia (K43) ICD-10-CM
The K43 code range covers ventral hernia with 10 ICD-10-CM diagnosis codes. 9 of them are billable and valid for claim submission in fiscal year 2026, and the category headers group them but cannot themselves be billed.
Codes in the K43 Range 10 codes · 9 billable
- K43 Ventral herniaNon-billable
- K43.0 Incisional hernia with obstruction, without gangrene
- K43.1 Incisional hernia with gangrene
- K43.2 Incisional hernia without obstruction or gangrene
- K43.3 Parastomal hernia with obstruction, without gangrene
- K43.4 Parastomal hernia with gangrene
- K43.5 Parastomal hernia without obstruction or gangrene
- K43.6 Other and unspecified ventral hernia with obstruction, without gangrene
- K43.7 Other and unspecified ventral hernia with gangrene
- K43.9 Ventral hernia without obstruction or gangrene
Clinical Terms in This Code Range
Definitions from the National Library of Medicine for conditions coded in the K43 range.
Incisional Hernia
Protrusion of tissue at or near the site of an incision from a previous surgery.
About the K43 Code Range
The ICD-10 code section K43 covers ventral hernias, which are hernias occurring through the abdominal wall. These codes classify ventral hernias based on the presence of complications like obstruction or gangrene, and specify different types such as incisional and parastomal hernias.
This section helps medical coders identify and record specific types of ventral hernias, essential for accurate diagnosis and treatment documentation. For example, K43.0 and K43.1 refer to incisional hernias with obstruction or gangrene, commonly called irreducible incisional hernia or strangulated ventral incisional hernia. Codes K43.3 to K43.5 address parastomal hernias, which can also occur with or without obstruction or gangrene. Other variants like epigastric and Spigelian hernias fall under K43.6 to K43.9, categorized by their complications or lack thereof. Using these codes ensures precise representation of hernia types, avoiding confusion when conditions are referred to by common names such as "obstructed ventral incisional hernia" or "parastomal urostomy hernia."
Questions About This Page
How many billable codes are in the K43 range?
Of the 10 codes in this range, 9 are billable and valid for claim submission from October 1, 2025 through September 30, 2026. Category header codes group them but cannot be reported on claims.
What does the K43 range classify?
The range classifies ventral hernia. Each code links to its own reference page with billing status, MS-DRG grouping, coding notes, and clinical information.
Related References
Source: CMS FY 2026 ICD-10-CM Tabular List and order file, effective October 1, 2025 through September 30, 2026.
