• 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
    • 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
    • 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
    • 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
    • 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
    • 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
      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
    • spigelian - see Hernia, ventral
    • spinal - see Spina bifida
    • strangulated - see also Hernia, by site, with obstruction
    • 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
    • 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
    • with