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 2027, 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.
Hernia, Ventral
A hernia caused by weakness of the anterior ABDOMINAL WALL due to midline defects, previous incisions, or increased intra-abdominal pressure. Ventral hernias include UMBILICAL HERNIA, incisional, epigastric, and spigelian hernias.
About the K43 Code Range
A ventral hernia occurs where the front abdominal wall is weak. That weakness can result from a midline defect, a previous incision, or increased pressure inside the abdomen.
K43 separates incisional, parastomal, and other or unspecified ventral hernias. The subdivisions then distinguish obstruction, or blockage; gangrene, or tissue death; and neither condition.
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, 2026 through September 30, 2027. 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 2027 ICD-10-CM Tabular List and order file, effective October 1, 2026 through September 30, 2027.
