K43
K43: Ventral hernia
Non-billable headerICD-10-CM
K43 is a non-billable header ICD-10-CM code for ventral hernia. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with K43
Their own Excludes1 notes name this code, so the conflict is not listed above.
- I96Gangrene, not elsewhere classified
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead K43
9 child codes. Green means billable.
- 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
- K43.5Parastomal hernia without obstruction or 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