DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

K43 Ventral hernia

  • Header · not billable

K43 is not billable. The category heads 9 billable codes in FY2027: the 9 codes directly below it.

Index → code

  • Incision, incisionalhernia → K43.2
  • Hernia, hernial (acquired) (recurrent)ventral → K43.9
  • Hernia, hernial (acquired) (recurrent)epigastric → K43.9

Where it sits

  1. Chapter 11 Diseases of the digestive system (K00-K95)
  2. K40-K46 Hernia (K40-K46)
  3. K43 Ventral hernia
Billable codes
9
Subdivisions
9
CC / MCC codes
3 / 3
HCC V28 codes
0
New FY2027
0
Index entries
19

Codes in K43

  1. K43.0
    Incisional hernia with obstruction, without gangrene
    BillableCC
    Inclusion terms 4

    Inclusion terms

    • Incisional hernia causing obstruction, without gangrene
    • Incarcerated incisional hernia, without gangrene
    • Irreducible incisional hernia, without gangrene
    • Strangulated incisional hernia, without gangrene
  2. K43.1
    Incisional hernia with gangrene
    BillableMCC
    Inclusion terms 1

    Inclusion terms

    • Gangrenous incisional hernia
  3. K43.2
    Incisional hernia without obstruction or gangrene
    Billable
    Inclusion terms 1

    Inclusion terms

    • Incisional hernia NOS
  4. K43.3
    Parastomal hernia with obstruction, without gangrene
    BillableCC
    Inclusion terms 4

    Inclusion terms

    • Incarcerated parastomal hernia, without gangrene
    • Irreducible parastomal hernia, without gangrene
    • Parastomal hernia causing obstruction, without gangrene
    • Strangulated parastomal hernia, without gangrene
  5. K43.4
    Parastomal hernia with gangrene
    BillableMCC
    Inclusion terms 1

    Inclusion terms

    • Gangrenous parastomal hernia
  6. K43.5
    Parastomal hernia without obstruction or gangrene
    Billable
    Inclusion terms 1

    Inclusion terms

    • Parastomal hernia NOS
  7. K43.6
    Other and unspecified ventral hernia with obstruction, without gangrene
    BillableCC
    Inclusion terms 20

    Inclusion terms

    • Epigastric hernia causing obstruction, without gangrene
    • Hypogastric hernia causing obstruction, without gangrene
    • Incarcerated epigastric hernia without gangrene
    • Incarcerated hypogastric hernia without gangrene
    • Incarcerated midline hernia without gangrene
    • Incarcerated spigelian hernia without gangrene
    • Incarcerated subxiphoid hernia without gangrene
    • Irreducible epigastric hernia without gangrene
    • Irreducible hypogastric hernia without gangrene
    • Irreducible midline hernia without gangrene
    • Irreducible spigelian hernia without gangrene
    • Irreducible subxiphoid hernia without gangrene
    • Midline hernia causing obstruction, without gangrene
    • Spigelian hernia causing obstruction, without gangrene
    • Strangulated epigastric hernia without gangrene
    • Strangulated hypogastric hernia without gangrene
    • Strangulated midline hernia without gangrene
    • Strangulated spigelian hernia without gangrene
    • Strangulated subxiphoid hernia without gangrene
    • Subxiphoid hernia causing obstruction, without gangrene
  8. K43.7
    Other and unspecified ventral hernia with gangrene
    BillableMCC
    Inclusion terms 1

    Inclusion terms

    • Any condition listed under K43.6 specified as gangrenous K43.6
  9. K43.9
    Ventral hernia without obstruction or gangrene
    Billable
    Inclusion terms 2

    Inclusion terms

    • Epigastric hernia
    • Ventral hernia NOS

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column.

Instructions

Notes that also apply

Block K40-K46 instructions (Notes 1, Includes 3): printed on the block page.

Chapter 11 instructions (Excludes2 8): printed on the chapter 11 page.

Index entries

  • Hernia, hernial (acquired) (recurrent)incisional → K43.2
  • Incision, incisionalhernia → K43.2
  • Hernia, hernial (acquired) (recurrent)parastomal → K43.5
  • Hernia, hernial (acquired) (recurrent)epigastric → K43.9
  • Hernia, hernial (acquired) (recurrent)ventral → K43.9
  • Hernia, hernial (acquired) (recurrent)ventralincisional → K43.2
  • Hernia, hernial (acquired) (recurrent)ventralspecified NEC → K43.9
  • Hernia, hernial (acquired) (recurrent)incisionalwithobstruction → K43.0
  • Incision, incisionalherniawithobstruction → K43.0
  • Hernia, hernial (acquired) (recurrent)incisionalwithgangrene (and obstruction) → K43.1
  • Incision, incisionalherniawithgangrene (and obstruction) → K43.1
  • Hernia, hernial (acquired) (recurrent)parastomalwithobstruction → K43.3
  • Hernia, hernial (acquired) (recurrent)parastomalwithgangrene (and obstruction) → K43.4
  • Hernia, hernial (acquired) (recurrent)ventralwithobstruction → K43.6
  • Hernia, hernial (acquired) (recurrent)ventralwithgangrene (and obstruction) → K43.7
  • Hernia, hernial (acquired) (recurrent)ventralincisionalwithobstruction → K43.0
  • Hernia, hernial (acquired) (recurrent)ventralincisionalwithgangrene (and obstruction) → K43.1
  • Hernia, hernial (acquired) (recurrent)ventralspecified NECwithobstruction → K43.6
  • Hernia, hernial (acquired) (recurrent)ventralspecified NECwithgangrene (and obstruction) → K43.7

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy