K43.1
K43.1: Incisional hernia with gangrene
Billable / specific codeICD-10-CM
K43.1 is a billable, specific ICD-10-CM code for incisional hernia with gangrene. It is valid for submission on a claim.
Check K43.1 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Gangrenous incisional hernia
Other codes that can never be billed with K43.1
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.
Medicare coverage
K43.1 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56658Billing and Coding: Cosmetic and Reconstructive Surgery
Alphabetic index entries that lead here
- Hernia, hernial›incisional›with›gangrene(and obstruction)
- Incision, incisional›hernia›with›gangrene(and obstruction)
- Hernia, hernial›ventral›incisional›with›gangrene(and obstruction)
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under K43
- K43.0Incisional hernia with obstruction, without 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