1. Home
  2. ICD-10-CM Codes
  3. K00–K95
  4. K40-K46
  5. K43
  6. 2024 ICD-10-CM Code K43.6

2024 ICD-10-CM Diagnosis Code K43.6

Other and unspecified ventral hernia with obstruction, without gangrene

ICD-10-CM Code:
K43.6
ICD-10 Code for:
Other and unsp ventral hernia with obstruction, w/o gangrene
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

Code Classification

K43.6 is a billable diagnosis code used to specify a medical diagnosis of other and unspecified ventral hernia with obstruction, without gangrene. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

Unspecified diagnosis codes like K43.6 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

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

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
Abdominal herniaDIG010Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Intestinal obstruction and ileusDIG012N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

  • Epigastric Hernia

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

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • 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 Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Convert K43.6 to ICD-9-CM

  • ICD-9-CM Code: 552.20 - Obstr ventral hernia NOS
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
  • ICD-9-CM Code: 552.29 - Obstr ventral hernia NEC
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education


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.

There are several types of hernias, including:

  • Inguinal, in the groin. This is the the most common type.
  • Umbilical, around the belly button
  • Incisional, through a scar
  • Hiatal, a small opening in the diaphragm that allows the upper part of the stomach to move up into the chest.
  • Congenital diaphragmatic, a birth defect that needs surgery

Hernias are common. They can affect men, women, and children. A combination of muscle weakness and straining, such as with heavy lifting, might contribute. Some people are born with weak abdominal muscles and may be more likely to get a hernia.

Treatment is usually surgery to repair the opening in the muscle wall. Untreated hernias can cause pain and health problems.


[Learn More in MedlinePlus]

Intestinal Obstruction

An intestinal obstruction occurs when food or stool cannot move through the intestines. The obstruction can be complete or partial. There are many causes. The most common are adhesions, hernias, cancers, and certain medicines.

Symptoms include:

  • Severe abdominal pain or cramping
  • Vomiting
  • Bloating
  • Loud bowel sounds
  • Swelling of the abdomen
  • Inability to pass gas
  • Constipation

A complete intestinal obstruction is a medical emergency. It often requires surgery.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

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.