2020 ICD-10-CM Diagnosis Code K42

Umbilical hernia

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • K42 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM K42 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of K42 - other international versions of ICD-10 K42 may differ.
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as K42. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • omphalocele (
    ICD-10-CM Diagnosis Code Q79.2

    Exomphalos

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Applicable To
    • Omphalocele
    Type 1 Excludes
    Q79.2
    )
Includes
Includes Help
"Includes" further defines, or give examples of, the content of the code or category.
  • paraumbilical hernia
The following code(s) above K42 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 K42:
  • K00-K95
    2020 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
    2020 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
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
Code annotations containing back-references to K42:
  • Type 1 Excludes: Q79.2
    , Q79.5
    ICD-10-CM Diagnosis Code Q79.2

    Exomphalos

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Applicable To
    • Omphalocele
    Type 1 Excludes
    ICD-10-CM Diagnosis Code Q79.5

    Other congenital malformations of abdominal wall

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
ICD-10-CM Codes Adjacent To K42
K41.21 …… recurrent
K41.3 Unilateral femoral hernia, with obstruction, without gangrene
K41.30 …… not specified as recurrent
K41.31 …… recurrent
K41.4 Unilateral femoral hernia, with gangrene
K41.40 …… not specified as recurrent
K41.41 …… recurrent
K41.9 Unilateral femoral hernia, without obstruction or gangrene
K41.90 …… not specified as recurrent
K41.91 …… recurrent
K42 Umbilical hernia
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

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