2021 ICD-10-CM Diagnosis Code K43.6

Other and unspecified ventral hernia with obstruction, without gangrene

    2016 2017 2018 2019 2020 2021 Billable/Specific Code
  • K43.6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Other and unsp ventral hernia with obstruction, w/o gangrene
  • The 2021 edition of ICD-10-CM K43.6 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of K43.6 - other international versions of ICD-10 K43.6 may differ.
Applicable To
  • 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
The following code(s) above K43.6 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to K43.6:
  • K00-K95
    2021 ICD-10-CM Range K00-K95

    Diseases of the digestive system

    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the digestive system
  • K40-K46
    2021 ICD-10-CM Range K40-K46

    Hernia

    Includes
    • acquired hernia
    • congenital [except diaphragmatic or hiatus] hernia
    • recurrent hernia
    Note
    • Hernia with both gangrene and obstruction is classified to hernia with gangrene.
    Hernia
Approximate Synonyms
  • Epigastric hernia with obstruction
  • Hypogastric hernia with obstruction
  • Incarcerated epigastric hernia
  • Incarcerated epigastric hernia with obstruction
  • Incarcerated hypogastric hernia
  • Incarcerated hypogastric hernia with obstruction
  • Incarcerated midline hernia
  • Incarcerated obstructed midline hernia
  • Incarcerated obstructed spigelian hernia
  • Incarcerated obstructed ventral hernia
  • Incarcerated spigelian hernia
  • Incarcerated spigelian hernia with obstruction
  • Incarcerated ventral hernia
  • Irreducible abdominal hernia with obstruction
  • Irreducible epigastric hernia
  • Irreducible hernia of anterior abdominal wall
  • Irreducible hypogastric hernia
  • Irreducible midline hernia
  • Irreducible obstructed epigastric hernia
  • Irreducible obstructed hypogastric hernia
  • Irreducible spigelian hernia
  • Irreducible spigelian hernia with obstruction
  • Irreducible ventral hernia
  • Irreducible ventral hernia with obstruction
  • Irreducible ventral incisional hernia
  • Midline hernia with obstruction
  • Obstructed epigastric hernia
  • Obstructed hypogastric hernia
  • Obstructed incisional ventral hernia
  • Obstructed midline hernia
  • Obstructed spigelian hernia
  • Spigelian hernia with obstruction
  • Ventral hernia with obstruction
ICD-10-CM K43.6 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 393 Other digestive system diagnoses with mcc
  • 394 Other digestive system diagnoses with cc
  • 395 Other digestive system diagnoses without cc/mcc
  • 791 Prematurity with major problems
  • 793 Full term neonate with major problems

Convert K43.6 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
Code annotations containing back-references to K43.6:
  • Applicable To: K43.7
    ICD-10-CM Diagnosis Code K43.7

    Other and unspecified ventral hernia with gangrene

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Any condition listed under K43.6 specified as gangrenous

Diagnosis Index entries containing back-references to K43.6:
  • Hernia, hernial (acquired) (recurrent) K46.9
    ICD-10-CM Diagnosis Code K46.9

    Unspecified abdominal hernia without obstruction or gangrene

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Abdominal hernia NOS
    • ventral K43.9
      ICD-10-CM Diagnosis Code K43.9

      Ventral hernia without obstruction or gangrene

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Epigastric hernia
      • Ventral hernia NOS
      • with
        • obstruction K43.6
      • specified NEC K43.9
        ICD-10-CM Diagnosis Code K43.9

        Ventral hernia without obstruction or gangrene

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
        Applicable To
        • Epigastric hernia
        • Ventral hernia NOS
        • with
          • obstruction K43.6

ICD-10-CM Codes Adjacent To K43.6
K42.0 Umbilical hernia with obstruction, without gangrene
K42.1 Umbilical hernia with gangrene
K42.9 Umbilical hernia without obstruction or gangrene
K43 Ventral hernia
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
K44 Diaphragmatic hernia
K44.0 Diaphragmatic hernia with obstruction, without gangrene
K44.1 Diaphragmatic hernia with gangrene
K44.9 Diaphragmatic hernia without obstruction or gangrene
K45 Other abdominal hernia
K45.0 Other specified abdominal hernia with obstruction, without gangrene
K45.1 Other specified abdominal hernia with gangrene
K45.8 Other specified abdominal hernia without obstruction or gangrene

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.