K40-K46 — Hernia
ICD-10-CM codes K40-K46 cover hernia, within diseases of the digestive system. The block holds 64 codes across 7 categories, of which 45 are billable and 19 are header codes that cannot be submitted on a claim.
Includes
Conditions this code covers.
- acquired hernia
- congenital [except diaphragmatic or hiatus] hernia
- recurrent hernia
Notes
Additional guidance from the ICD-10-CM tabular list.
- Hernia with both gangrene and obstruction is classified to hernia with gangrene.
What else to watch in K40-K46
- 45 codes are named in Medicare coverage policies. An LCD or NCD lists them as supporting medical necessity, or explicitly as not supporting it. Which applies depends on the MAC for your state.