K43 — Ventral hernia
Is K43 billable?
No — K43 is a non-billable header code. K43 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 9 billable codes beneath K43.
Billable codes under this header
- K43.0Incisional hernia with obstruction, without gangrene
- K43.1Incisional hernia with gangrene
- K43.2Incisional hernia without obstruction or gangrene
- K43.3Parastomal hernia with obstruction, without gangrene
- K43.4Parastomal hernia with gangrene
- K43.5Parastomal hernia without obstruction or gangrene
- K43.6Other and unspecified ventral hernia with obstruction, without gangrene
- K43.7Other and unspecified ventral hernia with gangrene
- K43.9Ventral hernia without obstruction or gangrene
K43 at a glance
| Code | K43 |
|---|---|
| Description | Ventral hernia |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes2 — not included here — inherited from Chapter 11
The conditions below are not part of K43, but a patient may have both at the same time. When documentation supports it, K43 and the excluded code may both be reported.
- 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)
What codes fall under K43? (9)
- K43.0Incisional hernia with obstruction, without gangrene
- K43.1Incisional hernia with gangrene
- K43.2Incisional hernia without obstruction or gangrene
- K43.3Parastomal hernia with obstruction, without gangrene
- K43.4Parastomal hernia with gangrene
- K43.5Parastomal hernia without obstruction or gangrene
- K43.6Other and unspecified ventral hernia with obstruction, without gangrene
- K43.7Other and unspecified ventral hernia with gangrene
- K43.9Ventral hernia without obstruction or gangrene
How long has K43 existed?
K43 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with K43?
ICD-10-CM declares these codes mutually exclusive with K43 — exactly one of each pair can be correct for a given encounter.