2023

  1. ICD-10-CM Codes
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  2. K00-K95
    3. ›
  3. K40-K46
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  4. K42-
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  5. 2023 ICD-10-CM Diagnosis Code K42.1

2023 ICD-10-CM Diagnosis Code K42.1

Umbilical hernia with gangrene

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • K42.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2023 edition of ICD-10-CM K42.1 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of K42.1 - other international versions of ICD-10 K42.1 may differ.
Applicable To
  • Gangrenous umbilical hernia
The following code(s) above K42.1 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 K42.1:
  • K00-K95
    2023 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
    2023 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
  • K42
    ICD-10-CM Diagnosis Code K42

    Umbilical hernia

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Includes
    • paraumbilical hernia
    Type 1 Excludes
    Umbilical hernia
ICD-10-CM K42.1 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 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 K42.1 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
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
Code annotations containing back-references to K42.1:
  • Type 1 Excludes: I96
    ICD-10-CM Diagnosis Code I96

    Gangrene, not elsewhere classified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Gangrenous cellulitis
    Type 1 Excludes
    Type 2 Excludes
    • gangrene in diabetes mellitus (E08-E13 with .52)

Diagnosis Index entries containing back-references to K42.1:
  • 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 2022 2023 Billable/Specific Code
    Applicable To
    • Abdominal hernia NOS
    • umbilicus, umbilical K42.9
      ICD-10-CM Diagnosis Code K42.9

      Umbilical hernia without obstruction or gangrene

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      Applicable To
      • Umbilical hernia NOS
      • with
        • gangrene K42.1 (and obstruction)
  • Incarceration, incarcerated
    • exomphalos K42.0
      ICD-10-CM Diagnosis Code K42.0

      Umbilical hernia with obstruction, without gangrene

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      Applicable To
      • Umbilical hernia causing obstruction, without gangrene
      • Incarcerated umbilical hernia, without gangrene
      • Irreducible umbilical hernia, without gangrene
      • Strangulated umbilical hernia, without gangrene
      • gangrenous K42.1
    • sarcoepiplomphalocele K42.0
      ICD-10-CM Diagnosis Code K42.0

      Umbilical hernia with obstruction, without gangrene

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      Applicable To
      • Umbilical hernia causing obstruction, without gangrene
      • Incarcerated umbilical hernia, without gangrene
      • Irreducible umbilical hernia, without gangrene
      • Strangulated umbilical hernia, without gangrene
      • with gangrene K42.1

ICD-10-CM Codes Adjacent To K42.1
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
K43.6 Other and unspecified ventral hernia with obstruction, without gangrene
K43.7 Other and unspecified ventral hernia with gangrene

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

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