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ICD-10-CM Code K43.9
Ventral hernia without obstruction or gangrene

BILLABLE
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
| ICD-10 from 2011 - 2016

K43.9 is a billable ICD code used to specify a diagnosis of ventral hernia without obstruction or gangrene. A 'billable code' is detailed enough to be used to specify a medical diagnosis.


The ICD code K439 is used to code Spigelian hernia

A Spigelian hernia (or lateral ventral hernia) is a hernia through the spigelian fascia, which is the aponeurotic layer between the rectus abdominis muscle medially, and the semilunar line laterally. There is a common misconception that they protrude below the arcuate line owing to deficiency of the posterior rectus sheath at that level, but in fact the defect is almost always above the arcuate line. These are generally interparietal hernias, meaning that they do not lie below the subcutaneous fat but penetrate between the muscles of the abdominal wall; therefore, there is often no notable swelling.

Specialty: Gastroenterology
ICD 9 Code: 553.29

Transverse CT image of the abdomen in a patient with a Spigelian hernia (arrow).

Source: Wikipedia

Coding Notes for K43.9 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
Epigastric hernia
Ventral hernia NOS

MS-DRG Mapping

  • DRG Group #393-395 - Other digestive system diagnoses with MCC.
  • DRG Group #393-395 - Other digestive system diagnoses with CC.
  • DRG Group #393-395 - Other digestive system diagnoses without CC or MCC.

ICD-10-CM Alphabetical Index References for 'K43.9 - Ventral hernia without obstruction or gangrene'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code K43.9. Click on any term below to browse the alphabetical index.

Equivalent ICD-9 Codes GENERAL EQUIVALENCE MAPPINGS (GEM)

Ventral, unspecified, hernia without mention of obstruction or gangrene (approximate match)
Other ventral hernia without mention of obstruction or gangrene (approximate match)

This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code K43.9 and a single ICD9 code, 553.29 is an approximate match for comparison and conversion purposes.


Parent Code: K43 - Ventral hernia

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/K439