K43.5 — Parastomal hernia without obstruction or gangrene
Is K43.5 billable?
Yes — K43.5 is billable for FY2027. K43.5 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. K43.5 may be submitted for encounters from October 1, 2026 through September 30, 2027.
K43.5 at a glance
| Code | K43.5 |
|---|---|
| Description | Parastomal hernia without obstruction or gangrene |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does K43.5 group to?
K43.5 sits in MDC 06 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 393Other Digestive System Diagnoses with MCCmedical
- 394Other Digestive System Diagnoses with CCmedical
- 395Other Digestive System Diagnoses without CC/MCCmedical
How is K43.5 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to K43.5. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Hernia, hernial › parastomal (acquired) (recurrent)
Inclusion terms
Alternative wording in documentation that is classified to K43.5.
- Parastomal hernia NOS
Excludes2 — not included here — inherited from Chapter 11
The conditions below are not part of K43.5, but a patient may have both at the same time. When documentation supports it, K43.5 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)
How long has K43.5 existed?
K43.5 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
- FY2019Parastomal hernia without obstruction or gangreneParastomal hernia without obstruction or gangrene
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which conditions are coded to K43.5?
What other codes are in the K43 family? (8)
- 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
- K43.6Other and unspecified ventral hernia with obstruction, without gangrene
- K43.7Other and unspecified ventral hernia with gangrene
- K43.9Ventral hernia without obstruction or gangrene