K43.7

K43.7: Other and unspecified ventral hernia with gangrene

Billable / specific codeICD-10-CM

K43.7 is a billable, specific ICD-10-CM code for other and unspecified ventral hernia with gangrene. It is valid for submission on a claim.

Check K43.7 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Any condition listed under K43.6 specified as gangrenous

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

K43.7 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›ventral›with›gangrene(and obstruction)
Hernia, hernial›ventral›specified NEC›with›gangrene(and obstruction)

Code history

Unchanged in every release from FY2024 to FY2027.