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 Billable/Specific Code

Applicable To

• Abdominal hernia NOS

• abdomen, abdominal K46.9
  ICD-10-CM Diagnosis Code K46.9

  Unspecified abdominal hernia without obstruction or gangrene

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Abdominal hernia NOS
  • femoral - see Hernia, femoral
  • incisional - see Hernia, incisional
  • inguinal - see Hernia, inguinal
  • specified site NEC K45.8
    ICD-10-CM Diagnosis Code K45.8

    Other specified abdominal hernia without obstruction or gangrene

    2016 2017 2018 2019 2020 Billable/Specific Code
    • with
      • gangrene K45.1
        (and obstruction)
        ICD-10-CM Diagnosis Code K45.1

        Other specified abdominal hernia with gangrene

        2016 2017 2018 2019 2020 Billable/Specific Code

        Applicable To

        • Any condition listed under K45 specified as gangrenous
      • obstruction K45.0
        ICD-10-CM Diagnosis Code K45.0

        Other specified abdominal hernia with obstruction, without gangrene

        2016 2017 2018 2019 2020 Billable/Specific Code

        Applicable To

        • Other specified abdominal hernia causing obstruction
        • Other specified incarcerated abdominal hernia
        • Other specified irreducible abdominal hernia
        • Other specified strangulated abdominal hernia
  • umbilical - see Hernia, umbilical
  • wall - see Hernia, ventral
  • with
    • gangrene K46.1
      (and obstruction)
      ICD-10-CM Diagnosis Code K46.1

      Unspecified abdominal hernia with gangrene

      2016 2017 2018 2019 2020 Billable/Specific Code

      Applicable To

      • Any condition listed under K46 specified as gangrenous
    • obstruction K46.0
      ICD-10-CM Diagnosis Code K46.0

      Unspecified abdominal hernia with obstruction, without gangrene

      2016 2017 2018 2019 2020 Billable/Specific Code

      Applicable To

      • Unspecified abdominal hernia causing obstruction
      • Unspecified incarcerated abdominal hernia
      • Unspecified irreducible abdominal hernia
      • Unspecified strangulated abdominal hernia
• appendix - see Hernia, abdomen
• bladder (mucosa) (sphincter)
  • congenital Q79.51
    (female) (male)
    ICD-10-CM Diagnosis Code Q79.51

    Congenital hernia of bladder

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
  • female - see Cystocele
  • male N32.89
    ICD-10-CM Diagnosis Code N32.89

    Other specified disorders of bladder

    2016 2017 2018 2019 2020 Billable/Specific Code

    Applicable To

    • Bladder hemorrhage
    • Bladder hypertrophy
    • Calcified bladder
    • Contracted bladder
• brain, congenital - see Encephalocele
• cartilage, vertebra - see Displacement, intervertebral disc
• cerebral, congenital - see also Encephalocele
  • endaural Q01.8
    ICD-10-CM Diagnosis Code Q01.8

    Encephalocele of other sites

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
• ciliary body S05.2-
  (traumatic)
  ICD-10-CM Diagnosis Code S05.2-

  Ocular laceration and rupture with prolapse or loss of intraocular tissue

  2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
• colon - see Hernia, abdomen
• Cooper's - see Hernia, abdomen, specified site NEC
• crural - see Hernia, femoral
• diaphragm, diaphragmatic K44.9
  ICD-10-CM Diagnosis Code K44.9

  Diaphragmatic hernia without obstruction or gangrene

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Diaphragmatic hernia NOS
  • congenital Q79.0
    ICD-10-CM Diagnosis Code Q79.0

    Congenital diaphragmatic hernia

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt

    Type 1 Excludes

    • congenital hiatus hernia (Q40.1)
  • with
    • gangrene K44.1
      (and obstruction)
      ICD-10-CM Diagnosis Code K44.1

      Diaphragmatic hernia with gangrene

      2016 2017 2018 2019 2020 Billable/Specific Code

      Applicable To

      • Gangrenous diaphragmatic hernia
    • obstruction K44.0
      ICD-10-CM Diagnosis Code K44.0

      Diaphragmatic hernia with obstruction, without gangrene

      2016 2017 2018 2019 2020 Billable/Specific Code

      Applicable To

      • Diaphragmatic hernia causing obstruction
      • Incarcerated diaphragmatic hernia
      • Irreducible diaphragmatic hernia
      • Strangulated diaphragmatic hernia
• direct (inguinal) - see Hernia, inguinal
• diverticulum, intestine - see Hernia, abdomen
• double (inguinal) - see Hernia, inguinal, bilateral
• due to adhesions K56.50
  (with obstruction)
  ICD-10-CM Diagnosis Code K56.50

  Intestinal adhesions [bands], unspecified as to partial versus complete obstruction

  2018 - New Code 2019 2020 Billable/Specific Code

  Applicable To

  • Intestinal adhesions with obstruction NOS
• epigastric K43.9
  - see also Hernia, ventral
  ICD-10-CM Diagnosis Code K43.9

  Ventral hernia without obstruction or gangrene

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Epigastric hernia
  • Ventral hernia NOS
• esophageal hiatus - see Hernia, hiatal
• external (inguinal) - see Hernia, inguinal
• fallopian tube N83.4-
  ICD-10-CM Diagnosis Code N83.4-

  Prolapse and hernia of ovary and fallopian tube

  2016 2017 - Converted to Parent Code 2018 2019 2020 Non-Billable/Non-Specific Code
• fascia M62.89
  ICD-10-CM Diagnosis Code M62.89

  Other specified disorders of muscle

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Muscle (sheath) hernia
• femoral K41.90
  ICD-10-CM Diagnosis Code K41.90

  Unilateral femoral hernia, without obstruction or gangrene, not specified as recurrent

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Femoral hernia NOS
  • Unilateral femoral hernia NOS
  • bilateral K41.20
    ICD-10-CM Diagnosis Code K41.20

    Bilateral femoral hernia, without obstruction or gangrene, not specified as recurrent

    2016 2017 2018 2019 2020 Billable/Specific Code

    Applicable To

    • Bilateral femoral hernia NOS
    • not specified as recurrent K41.20
      ICD-10-CM Diagnosis Code K41.20

      Bilateral femoral hernia, without obstruction or gangrene, not specified as recurrent

      2016 2017 2018 2019 2020 Billable/Specific Code

      Applicable To

      • Bilateral femoral hernia NOS
    • recurrent K41.21
      ICD-10-CM Diagnosis Code K41.21

      Bilateral femoral hernia, without obstruction or gangrene, recurrent

      2016 2017 2018 2019 2020 Billable/Specific Code
    • with
      • gangrene (and obstruction) K41.10
        ICD-10-CM Diagnosis Code K41.10

        Bilateral femoral hernia, with gangrene, not specified as recurrent

        2016 2017 2018 2019 2020 Billable/Specific Code

        Applicable To

        • Bilateral femoral hernia, with gangrene NOS
        • not specified as recurrent K41.10
          ICD-10-CM Diagnosis Code K41.10

          Bilateral femoral hernia, with gangrene, not specified as recurrent

          2016 2017 2018 2019 2020 Billable/Specific Code

          Applicable To

          • Bilateral femoral hernia, with gangrene NOS
        • recurrent K41.11
          ICD-10-CM Diagnosis Code K41.11

          Bilateral femoral hernia, with gangrene, recurrent

          2016 2017 2018 2019 2020 Billable/Specific Code
      • obstruction K41.00
        ICD-10-CM Diagnosis Code K41.00

        Bilateral femoral hernia, with obstruction, without gangrene, not specified as recurrent

        2016 2017 2018 2019 2020 Billable/Specific Code

        Applicable To

        • Bilateral femoral hernia, with obstruction, without gangrene NOS
        • not specified as recurrent K41.00
          ICD-10-CM Diagnosis Code K41.00

          Bilateral femoral hernia, with obstruction, without gangrene, not specified as recurrent

          2016 2017 2018 2019 2020 Billable/Specific Code

          Applicable To

          • Bilateral femoral hernia, with obstruction, without gangrene NOS
        • recurrent K41.01
          ICD-10-CM Diagnosis Code K41.01

          Bilateral femoral hernia, with obstruction, without gangrene, recurrent

          2016 2017 2018 2019 2020 Billable/Specific Code
  • not specified as recurrent K41.90
    ICD-10-CM Diagnosis Code K41.90

    Unilateral femoral hernia, without obstruction or gangrene, not specified as recurrent

    2016 2017 2018 2019 2020 Billable/Specific Code

    Applicable To

    • Femoral hernia NOS
    • Unilateral femoral hernia NOS
  • recurrent K41.91
    ICD-10-CM Diagnosis Code K41.91

    Unilateral femoral hernia, without obstruction or gangrene, recurrent

    2016 2017 2018 2019 2020 Billable/Specific Code
  • unilateral K41.90
    ICD-10-CM Diagnosis Code K41.90

    Unilateral femoral hernia, without obstruction or gangrene, not specified as recurrent

    2016 2017 2018 2019 2020 Billable/Specific Code

    Applicable To

    • Femoral hernia NOS
    • Unilateral femoral hernia NOS
    • not specified as recurrent K41.90
      ICD-10-CM Diagnosis Code K41.90

      Unilateral femoral hernia, without obstruction or gangrene, not specified as recurrent

      2016 2017 2018 2019 2020 Billable/Specific Code

      Applicable To

      • Femoral hernia NOS
      • Unilateral femoral hernia NOS
    • recurrent K41.91
      ICD-10-CM Diagnosis Code K41.91

      Unilateral femoral hernia, without obstruction or gangrene, recurrent

      2016 2017 2018 2019 2020 Billable/Specific Code
    • with
      • gangrene (and obstruction) K41.40
        ICD-10-CM Diagnosis Code K41.40

        Unilateral femoral hernia, with gangrene, not specified as recurrent

        2016 2017 2018 2019 2020 Billable/Specific Code

        Applicable To

        • Femoral hernia, with gangrene NOS
        • Unilateral femoral hernia, with gangrene NOS
        • not specified as recurrent K41.40
          ICD-10-CM Diagnosis Code K41.40

          Unilateral femoral hernia, with gangrene, not specified as recurrent

          2016 2017 2018 2019 2020 Billable/Specific Code

          Applicable To

          • Femoral hernia, with gangrene NOS
          • Unilateral femoral hernia, with gangrene NOS
        • recurrent K41.41
          ICD-10-CM Diagnosis Code K41.41

          Unilateral femoral hernia, with gangrene, recurrent

          2016 2017 2018 2019 2020 Billable/Specific Code
      • obstruction K41.30
        ICD-10-CM Diagnosis Code K41.30

        Unilateral femoral hernia, with obstruction, without gangrene, not specified as recurrent

        2016 2017 2018 2019 2020 Billable/Specific Code

        Applicable To

        • Femoral hernia, with obstruction NOS
        • Unilateral femoral hernia, with obstruction NOS
        • not specified as recurrent K41.30
          ICD-10-CM Diagnosis Code K41.30

          Unilateral femoral hernia, with obstruction, without gangrene, not specified as recurrent

          2016 2017 2018 2019 2020 Billable/Specific Code

          Applicable To

          • Femoral hernia, with obstruction NOS
          • Unilateral femoral hernia, with obstruction NOS
        • recurrent K41.31
          ICD-10-CM Diagnosis Code K41.31

          Unilateral femoral hernia, with obstruction, without gangrene, recurrent

          2016 2017 2018 2019 2020 Billable/Specific Code
  • with
    • gangrene (and obstruction) K41.40
      ICD-10-CM Diagnosis Code K41.40

      Unilateral femoral hernia, with gangrene, not specified as recurrent

      2016 2017 2018 2019 2020 Billable/Specific Code

      Applicable To

      • Femoral hernia, with gangrene NOS
      • Unilateral femoral hernia, with gangrene NOS
      • not specified as recurrent K41.40
        ICD-10-CM Diagnosis Code K41.40

        Unilateral femoral hernia, with gangrene, not specified as recurrent

        2016 2017 2018 2019 2020 Billable/Specific Code

        Applicable To

        • Femoral hernia, with gangrene NOS
        • Unilateral femoral hernia, with gangrene NOS
      • recurrent K41.41
        ICD-10-CM Diagnosis Code K41.41

        Unilateral femoral hernia, with gangrene, recurrent

        2016 2017 2018 2019 2020 Billable/Specific Code
    • obstruction K41.30
      ICD-10-CM Diagnosis Code K41.30

      Unilateral femoral hernia, with obstruction, without gangrene, not specified as recurrent

      2016 2017 2018 2019 2020 Billable/Specific Code

      Applicable To

      • Femoral hernia, with obstruction NOS
      • Unilateral femoral hernia, with obstruction NOS
      • not specified as recurrent K41.30
        ICD-10-CM Diagnosis Code K41.30

        Unilateral femoral hernia, with obstruction, without gangrene, not specified as recurrent

        2016 2017 2018 2019 2020 Billable/Specific Code

        Applicable To

        • Femoral hernia, with obstruction NOS
        • Unilateral femoral hernia, with obstruction NOS
      • recurrent K41.31
        ICD-10-CM Diagnosis Code K41.31

        Unilateral femoral hernia, with obstruction, without gangrene, recurrent

        2016 2017 2018 2019 2020 Billable/Specific Code
• foramen magnum G93.5
  ICD-10-CM Diagnosis Code G93.5

  Compression of brain

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Arnold-Chiari type 1 compression of brain
  • Compression of brain (stem)
  • Herniation of brain (stem)

  Type 1 Excludes

  • diffuse traumatic compression of brain (S06.2-)
  • focal traumatic compression of brain (S06.3-)
  • congenital Q01.8
    ICD-10-CM Diagnosis Code Q01.8

    Encephalocele of other sites

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
• funicular (umbilical) - see also Hernia, umbilicus
  • spermatic (cord) - see Hernia, inguinal
• gastrointestinal tract - see Hernia, abdomen
• Hesselbach's - see Hernia, femoral, specified site NEC
• hiatal (esophageal) (sliding) K44.9
  ICD-10-CM Diagnosis Code K44.9

  Diaphragmatic hernia without obstruction or gangrene

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Diaphragmatic hernia NOS
  • congenital Q40.1
    ICD-10-CM Diagnosis Code Q40.1

    Congenital hiatus hernia

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt

    Applicable To

    • Congenital displacement of cardia through esophageal hiatus

    Type 1 Excludes

    • congenital diaphragmatic hernia (Q79.0)
  • with
    • gangrene K44.1
      (and obstruction)
      ICD-10-CM Diagnosis Code K44.1

      Diaphragmatic hernia with gangrene

      2016 2017 2018 2019 2020 Billable/Specific Code

      Applicable To

      • Gangrenous diaphragmatic hernia
    • obstruction K44.0
      ICD-10-CM Diagnosis Code K44.0

      Diaphragmatic hernia with obstruction, without gangrene

      2016 2017 2018 2019 2020 Billable/Specific Code

      Applicable To

      • Diaphragmatic hernia causing obstruction
      • Incarcerated diaphragmatic hernia
      • Irreducible diaphragmatic hernia
      • Strangulated diaphragmatic hernia
• hypogastric - see Hernia, ventral
• incarcerated - see also Hernia, by site, with obstruction
  • with gangrene - see Hernia, by site, with gangrene
• incisional K43.2
  ICD-10-CM Diagnosis Code K43.2

  Incisional hernia without obstruction or gangrene

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Incisional hernia NOS
  • with
    • gangrene K43.1
      (and obstruction)
      ICD-10-CM Diagnosis Code K43.1

      Incisional hernia with gangrene

      2016 2017 2018 2019 2020 Billable/Specific Code

      Applicable To

      • Gangrenous incisional hernia
    • obstruction K43.0
      ICD-10-CM Diagnosis Code K43.0

      Incisional hernia with obstruction, without gangrene

      2016 2017 2018 2019 2020 Billable/Specific Code

      Applicable To

      • Incisional hernia causing obstruction, without gangrene
      • Incarcerated incisional hernia, without gangrene
      • Irreducible incisional hernia, without gangrene
      • Strangulated incisional hernia, without gangrene
• indirect (inguinal) - see Hernia, inguinal
• inguinal (direct) (external) (funicular) (indirect) (internal) (oblique) (scrotal) (sliding) K40.90
  ICD-10-CM Diagnosis Code K40.90

  Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Inguinal hernia NOS
  • Unilateral inguinal hernia NOS
  • bilateral K40.20
    ICD-10-CM Diagnosis Code K40.20

    Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent

    2016 2017 2018 2019 2020 Billable/Specific Code

    Applicable To

    • Bilateral inguinal hernia NOS
    • not specified as recurrent K40.20
      ICD-10-CM Diagnosis Code K40.20

      Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent

      2016 2017 2018 2019 2020 Billable/Specific Code

      Applicable To

      • Bilateral inguinal hernia NOS
    • recurrent K40.21
      ICD-10-CM Diagnosis Code K40.21

      Bilateral inguinal hernia, without obstruction or gangrene, recurrent

      2016 2017 2018 2019 2020 Billable/Specific Code
    • with
      • gangrene (and obstruction) K40.10
        ICD-10-CM Diagnosis Code K40.10

        Bilateral inguinal hernia, with gangrene, not specified as recurrent

        2016 2017 2018 2019 2020 Billable/Specific Code

        Applicable To

        • Bilateral inguinal hernia, with gangrene NOS
        • not specified as recurrent K40.10
          ICD-10-CM Diagnosis Code K40.10

          Bilateral inguinal hernia, with gangrene, not specified as recurrent

          2016 2017 2018 2019 2020 Billable/Specific Code

          Applicable To

          • Bilateral inguinal hernia, with gangrene NOS
        • recurrent K40.11
          ICD-10-CM Diagnosis Code K40.11

          Bilateral inguinal hernia, with gangrene, recurrent

          2016 2017 2018 2019 2020 Billable/Specific Code
      • obstruction K40.00
        ICD-10-CM Diagnosis Code K40.00

        Bilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent

        2016 2017 2018 2019 2020 Billable/Specific Code

        Applicable To

        • Bilateral inguinal hernia, with obstruction, without gangrene NOS
        • not specified as recurrent K40.00
          ICD-10-CM Diagnosis Code K40.00

          Bilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent

          2016 2017 2018 2019 2020 Billable/Specific Code

          Applicable To

          • Bilateral inguinal hernia, with obstruction, without gangrene NOS
        • recurrent K40.01
          ICD-10-CM Diagnosis Code K40.01

          Bilateral inguinal hernia, with obstruction, without gangrene, recurrent

          2016 2017 2018 2019 2020 Billable/Specific Code
  • not specified as recurrent K40.90
    ICD-10-CM Diagnosis Code K40.90

    Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent

    2016 2017 2018 2019 2020 Billable/Specific Code

    Applicable To

    • Inguinal hernia NOS
    • Unilateral inguinal hernia NOS
  • recurrent K40.91
    ICD-10-CM Diagnosis Code K40.91

    Unilateral inguinal hernia, without obstruction or gangrene, recurrent

    2016 2017 2018 2019 2020 Billable/Specific Code
  • unilateral K40.90
    ICD-10-CM Diagnosis Code K40.90

    Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent

    2016 2017 2018 2019 2020 Billable/Specific Code

    Applicable To

    • Inguinal hernia NOS
    • Unilateral inguinal hernia NOS
    • not specified as recurrent K40.90
      ICD-10-CM Diagnosis Code K40.90

      Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent

      2016 2017 2018 2019 2020 Billable/Specific Code

      Applicable To

      • Inguinal hernia NOS
      • Unilateral inguinal hernia NOS
    • recurrent K40.91
      ICD-10-CM Diagnosis Code K40.91

      Unilateral inguinal hernia, without obstruction or gangrene, recurrent

      2016 2017 2018 2019 2020 Billable/Specific Code
    • with
      • gangrene (and obstruction) K40.40
        ICD-10-CM Diagnosis Code K40.40

        Unilateral inguinal hernia, with gangrene, not specified as recurrent

        2016 2017 2018 2019 2020 Billable/Specific Code

        Applicable To

        • Inguinal hernia with gangrene NOS
        • Unilateral inguinal hernia with gangrene NOS
        • not specified as recurrent K40.40
          ICD-10-CM Diagnosis Code K40.40

          Unilateral inguinal hernia, with gangrene, not specified as recurrent

          2016 2017 2018 2019 2020 Billable/Specific Code

          Applicable To

          • Inguinal hernia with gangrene NOS
          • Unilateral inguinal hernia with gangrene NOS
        • recurrent K40.41
          ICD-10-CM Diagnosis Code K40.41

          Unilateral inguinal hernia, with gangrene, recurrent

          2016 2017 2018 2019 2020 Billable/Specific Code
      • obstruction K40.30
        ICD-10-CM Diagnosis Code K40.30

        Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent

        2016 2017 2018 2019 2020 Billable/Specific Code

        Applicable To

        • Inguinal hernia, with obstruction NOS
        • Unilateral inguinal hernia, with obstruction, without gangrene NOS
        • not specified as recurrent K40.30
          ICD-10-CM Diagnosis Code K40.30

          Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent

          2016 2017 2018 2019 2020 Billable/Specific Code

          Applicable To

          • Inguinal hernia, with obstruction NOS
          • Unilateral inguinal hernia, with obstruction, without gangrene NOS
        • recurrent K40.31
          ICD-10-CM Diagnosis Code K40.31

          Unilateral inguinal hernia, with obstruction, without gangrene, recurrent

          2016 2017 2018 2019 2020 Billable/Specific Code
  • with
    • gangrene (and obstruction) K40.40
      ICD-10-CM Diagnosis Code K40.40

      Unilateral inguinal hernia, with gangrene, not specified as recurrent

      2016 2017 2018 2019 2020 Billable/Specific Code

      Applicable To

      • Inguinal hernia with gangrene NOS
      • Unilateral inguinal hernia with gangrene NOS
      • not specified as recurrent K40.40
        ICD-10-CM Diagnosis Code K40.40

        Unilateral inguinal hernia, with gangrene, not specified as recurrent

        2016 2017 2018 2019 2020 Billable/Specific Code

        Applicable To

        • Inguinal hernia with gangrene NOS
        • Unilateral inguinal hernia with gangrene NOS
      • recurrent K40.41
        ICD-10-CM Diagnosis Code K40.41

        Unilateral inguinal hernia, with gangrene, recurrent

        2016 2017 2018 2019 2020 Billable/Specific Code
    • obstruction K40.30
      ICD-10-CM Diagnosis Code K40.30

      Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent

      2016 2017 2018 2019 2020 Billable/Specific Code

      Applicable To

      • Inguinal hernia, with obstruction NOS
      • Unilateral inguinal hernia, with obstruction, without gangrene NOS
      • not specified as recurrent K40.30
        ICD-10-CM Diagnosis Code K40.30

        Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent

        2016 2017 2018 2019 2020 Billable/Specific Code

        Applicable To

        • Inguinal hernia, with obstruction NOS
        • Unilateral inguinal hernia, with obstruction, without gangrene NOS
      • recurrent K40.31
        ICD-10-CM Diagnosis Code K40.31

        Unilateral inguinal hernia, with obstruction, without gangrene, recurrent

        2016 2017 2018 2019 2020 Billable/Specific Code
• internal - see also Hernia, abdomen
  • inguinal - see Hernia, inguinal
• interstitial - see Hernia, abdomen
• intervertebral cartilage or disc - see Displacement, intervertebral disc
• intestine, intestinal - see Hernia, by site
• intra-abdominal - see Hernia, abdomen
• iris S05.2-
  (traumatic)
  ICD-10-CM Diagnosis Code S05.2-

  Ocular laceration and rupture with prolapse or loss of intraocular tissue

  2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
• irreducible - see also Hernia, by site, with obstruction
  • with gangrene - see Hernia, by site, with gangrene
• ischiatic - see Hernia, abdomen, specified site NEC
• ischiorectal - see Hernia, abdomen, specified site NEC
• lens S05.2-
  (traumatic)
  ICD-10-CM Diagnosis Code S05.2-

  Ocular laceration and rupture with prolapse or loss of intraocular tissue

  2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
• linea (alba) (semilunaris) - see Hernia, ventral
• Littre's - see Hernia, abdomen
• lumbar - see Hernia, abdomen, specified site NEC
• lung J98.4
  (subcutaneous)
  ICD-10-CM Diagnosis Code J98.4

  Other disorders of lung

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Calcification of lung
  • Cystic lung disease (acquired)
  • Lung disease NOS
  • Pulmolithiasis

  Type 1 Excludes

  • acute interstitial pneumonitis (J84.114)
  • pulmonary insufficiency following surgery (J95.1-J95.2)
• mediastinum J98.59
  ICD-10-CM Diagnosis Code J98.59

  Other diseases of mediastinum, not elsewhere classified

  2017 - New Code 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Fibrosis of mediastinum
  • Hernia of mediastinum
  • Retraction of mediastinum
• mesenteric (internal) - see Hernia, abdomen
• midline - see Hernia, ventral
• muscle M62.89
  (sheath)
  ICD-10-CM Diagnosis Code M62.89

  Other specified disorders of muscle

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Muscle (sheath) hernia
• nucleus pulposus - see Displacement, intervertebral disc
• oblique (inguinal) - see Hernia, inguinal
• obstructive - see also Hernia, by site, with obstruction
  • with gangrene - see Hernia, by site, with gangrene
• obturator - see Hernia, abdomen, specified site NEC
• omental - see Hernia, abdomen
• ovary N83.4-
  ICD-10-CM Diagnosis Code N83.4-

  Prolapse and hernia of ovary and fallopian tube

  2016 2017 - Converted to Parent Code 2018 2019 2020 Non-Billable/Non-Specific Code
• oviduct N83.4-
  ICD-10-CM Diagnosis Code N83.4-

  Prolapse and hernia of ovary and fallopian tube

  2016 2017 - Converted to Parent Code 2018 2019 2020 Non-Billable/Non-Specific Code
• paraesophageal - see also Hernia, diaphragm
  • congenital Q40.1
    ICD-10-CM Diagnosis Code Q40.1

    Congenital hiatus hernia

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt

    Applicable To

    • Congenital displacement of cardia through esophageal hiatus

    Type 1 Excludes

    • congenital diaphragmatic hernia (Q79.0)
• parastomal K43.5
  ICD-10-CM Diagnosis Code K43.5

  Parastomal hernia without obstruction or gangrene

  2016 2017 2018 2019 - Revised Code 2020 Billable/Specific Code

  Applicable To

  • Parastomal hernia NOS
  • with
    • gangrene K43.4
      (and obstruction)
      ICD-10-CM Diagnosis Code K43.4

      Parastomal hernia with gangrene

      2016 2017 2018 2019 2020 Billable/Specific Code

      Applicable To

      • Gangrenous parastomal hernia
    • obstruction K43.3
      ICD-10-CM Diagnosis Code K43.3

      Parastomal hernia with obstruction, without gangrene

      2016 2017 2018 2019 2020 Billable/Specific Code

      Applicable To

      • Incarcerated parastomal hernia, without gangrene
      • Irreducible parastomal hernia, without gangrene
      • Parastomal hernia causing obstruction, without gangrene
      • Strangulated parastomal hernia, without gangrene
• paraumbilical - see Hernia, umbilicus
• perineal - see Hernia, abdomen, specified site NEC
• Petit's - see Hernia, abdomen, specified site NEC
• postoperative - see Hernia, incisional
• pregnant uterus - see Abnormal, uterus in pregnancy or childbirth
• prevesical N32.89
  ICD-10-CM Diagnosis Code N32.89

  Other specified disorders of bladder

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Bladder hemorrhage
  • Bladder hypertrophy
  • Calcified bladder
  • Contracted bladder
• properitoneal - see Hernia, abdomen, specified site NEC
• pudendal - see Hernia, abdomen, specified site NEC
• rectovaginal N81.6
  ICD-10-CM Diagnosis Code N81.6

  Rectocele

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Prolapse of posterior vaginal wall

  Type 2 Excludes

  • perineocele (N81.81)
  • rectal prolapse (K62.3)
  • rectocele with prolapse of uterus (N81.2-N81.4)

  Use Additional

  • code for any associated fecal incontinence, if applicable (R15.-)
• retroperitoneal - see Hernia, abdomen, specified site NEC
• Richter's - see Hernia, abdomen, with obstruction
• Rieux's, Riex's - see Hernia, abdomen, specified site NEC
• sac condition (adhesion) (dropsy) (inflammation) (laceration) (suppuration)
• sciatic - see Hernia, abdomen, specified site NEC
• scrotum, scrotal - see Hernia, inguinal
• sliding (inguinal) - see also Hernia, inguinal
  • hiatus - see Hernia, hiatal
• spigelian - see Hernia, ventral
• spinal - see Spina bifida
• strangulated - see also Hernia, by site, with obstruction
  • with gangrene - see Hernia, by site, with gangrene
• subxiphoid - see Hernia, ventral
• supra-umbilicus - see Hernia, ventral
• tendon - see Disorder, tendon, specified type NEC
• Treitz's (fossa) - see Hernia, abdomen, specified site NEC
• tunica vaginalis Q55.29
  ICD-10-CM Diagnosis Code Q55.29

  Other congenital malformations of testis and scrotum

  2016 2017 2018 2019 2020 Billable/Specific Code Male Dx POA Exempt
• umbilicus, umbilical K42.9
  ICD-10-CM Diagnosis Code K42.9

  Umbilical hernia without obstruction or gangrene

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Umbilical hernia NOS
  • with
    • gangrene K42.1
      (and obstruction)
      ICD-10-CM Diagnosis Code K42.1

      Umbilical hernia with gangrene

      2016 2017 2018 2019 2020 Billable/Specific Code

      Applicable To

      • Gangrenous umbilical hernia
    • obstruction K42.0
      ICD-10-CM Diagnosis Code K42.0

      Umbilical hernia with obstruction, without gangrene

      2016 2017 2018 2019 2020 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
• ureter N28.89
  ICD-10-CM Diagnosis Code N28.89

  Other specified disorders of kidney and ureter

  2016 2017 2018 2019 2020 Billable/Specific Code
• urethra, congenital Q64.79
  ICD-10-CM Diagnosis Code Q64.79

  Other congenital malformations of bladder and urethra

  2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
• urinary meatus, congenital Q64.79
  ICD-10-CM Diagnosis Code Q64.79

  Other congenital malformations of bladder and urethra

  2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
• uterus N81.4
  ICD-10-CM Diagnosis Code N81.4

  Uterovaginal prolapse, unspecified

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Prolapse of uterus NOS
  • pregnant - see Abnormal, uterus in pregnancy or childbirth
• vaginal (anterior) (wall) - see Cystocele
• Velpeau's - see Hernia, femoral
• ventral K43.9
  ICD-10-CM Diagnosis Code K43.9

  Ventral hernia without obstruction or gangrene

  2016 2017 2018 2019 2020 Billable/Specific Code

  Applicable To

  • Epigastric hernia
  • Ventral hernia NOS
  • incisional K43.2
    ICD-10-CM Diagnosis Code K43.2

    Incisional hernia without obstruction or gangrene

    2016 2017 2018 2019 2020 Billable/Specific Code

    Applicable To

    • Incisional hernia NOS
    • with
      • gangrene K43.1
        (and obstruction)
        ICD-10-CM Diagnosis Code K43.1

        Incisional hernia with gangrene

        2016 2017 2018 2019 2020 Billable/Specific Code

        Applicable To

        • Gangrenous incisional hernia
      • obstruction K43.0
        ICD-10-CM Diagnosis Code K43.0

        Incisional hernia with obstruction, without gangrene

        2016 2017 2018 2019 2020 Billable/Specific Code

        Applicable To

        • Incisional hernia causing obstruction, without gangrene
        • Incarcerated incisional hernia, without gangrene
        • Irreducible incisional hernia, without gangrene
        • Strangulated incisional hernia, without gangrene
  • recurrent - see Hernia, incisional
  • specified NEC K43.9
    ICD-10-CM Diagnosis Code K43.9

    Ventral hernia without obstruction or gangrene

    2016 2017 2018 2019 2020 Billable/Specific Code

    Applicable To

    • Epigastric hernia
    • Ventral hernia NOS
    • with
      • gangrene K43.7
        (and obstruction)
        ICD-10-CM Diagnosis Code K43.7

        Other and unspecified ventral hernia with gangrene

        2016 2017 2018 2019 2020 Billable/Specific Code

        Applicable To

        • Any condition listed under K43.6 specified as gangrenous
      • obstruction K43.6
        ICD-10-CM Diagnosis Code K43.6

        Other and unspecified ventral hernia with obstruction, without gangrene

        2016 2017 2018 2019 2020 Billable/Specific Code

        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
  • with
    • gangrene K43.7
      (and obstruction)
      ICD-10-CM Diagnosis Code K43.7

      Other and unspecified ventral hernia with gangrene

      2016 2017 2018 2019 2020 Billable/Specific Code

      Applicable To

      • Any condition listed under K43.6 specified as gangrenous
    • obstruction K43.6
      ICD-10-CM Diagnosis Code K43.6

      Other and unspecified ventral hernia with obstruction, without gangrene

      2016 2017 2018 2019 2020 Billable/Specific Code

      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
• vesical
  • congenital Q79.51
    (female) (male)
    ICD-10-CM Diagnosis Code Q79.51

    Congenital hernia of bladder

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
  • female - see Cystocele
  • male N32.89
    ICD-10-CM Diagnosis Code N32.89

    Other specified disorders of bladder

    2016 2017 2018 2019 2020 Billable/Specific Code

    Applicable To

    • Bladder hemorrhage
    • Bladder hypertrophy
    • Calcified bladder
    • Contracted bladder
• vitreous (into wound) S05.2-
  ICD-10-CM Diagnosis Code S05.2-

  Ocular laceration and rupture with prolapse or loss of intraocular tissue

  2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • into anterior chamber - see Prolapse, vitreous
• with
  • gangrene - see Hernia, by site, with, gangrene
  • incarceration - see Hernia, by site, with, obstruction
  • irreducible - see Hernia, by site, with, obstruction
  • obstruction - see Hernia, by site, with, obstruction
  • strangulation - see Hernia, by site, with, obstruction