K42.0
K42.0: Umbilical hernia with obstruction, without gangrene
Billable / specific codeICD-10-CM
K42.0 is a billable, specific ICD-10-CM code for umbilical hernia with obstruction, without gangrene. It is valid for submission on a claim.
Check K42.0 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Umbilical hernia causing obstruction, without gangrene
- Incarcerated umbilical hernia, without gangrene
- Irreducible umbilical hernia, without gangrene
- Strangulated umbilical hernia, without gangrene
Other codes that can never be billed with K42.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
K42.0 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
Alphabetic index entries that lead here
- Incarceration, incarcerated›exomphalos
- Incarceration, incarcerated›omphalocele
- Incarceration, incarcerated›sarcoepiplomphalocele
- Hernia, hernial›umbilicus, umbilical›with›obstruction
Code history
Unchanged in every release from FY2024 to FY2027.