K42.9
K42.9: Umbilical hernia without obstruction or gangrene
Billable / specific codeICD-10-CM
K42.9 is a billable, specific ICD-10-CM code for umbilical hernia without obstruction or gangrene. It is valid for submission on a claim.
Check K42.9 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Umbilical hernia NOS
Other codes that can never be billed with K42.9
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
K42.9 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
- Hernia, hernial›umbilicus, umbilical
Code history
Unchanged in every release from FY2024 to FY2027.