Coding and coverage · ICD-10-CM
K43.6 Other and unspecified ventral hernia with obstruction, without gangrene
Instructional notes
Chapter 11
Excludes2Not included here: the patient may have both; report both when both are present.
- 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)
Section K40-K46
Includes
- acquired hernia
- congenital [except diaphragmatic or hiatus] hernia
- recurrent hernia
Notes
- Hernia with both gangrene and obstruction is classified to hernia with gangrene.
This code
Inclusion terms
- 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
Chapter 11: Diseases of the digestive system · K40-K46 Hernia (K40-K46)
Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.
Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.