2021 ICD-10-CM Diagnosis Code K43

Ventral hernia

    2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
  • K43 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2021 edition of ICD-10-CM K43 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of K43 - other international versions of ICD-10 K43 may differ.
The following code(s) above K43 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:
  • 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
Clinical Information
  • 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.
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
ICD-10-CM Codes Adjacent To K43
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
K43.9 Ventral hernia without obstruction or gangrene
K44 Diaphragmatic hernia

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