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Home/Diagnosis/ICD-10 Coding for Abdominal Hernia

ICD-10 Coding for Abdominal Hernia

K43.6
K43.7

Complete ICD-10-CM coding and documentation guide for icd-10 coding for abdominal hernia includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Ventral Hernia
Epigastric Hernia
Incisional Hernia
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Key Information: ICD-10 Coding for Abdominal Hernia

Essential facts and insights about ICD-10 Coding for Abdominal Hernia

Use ICD-10 code K43.6 for ventral hernia with obstruction, without gangrene, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Ventral hernia with obstruction, without gangrene

Billable Code
K43.6
Billable

Diagnostic Criteria

  • • Obstruction without signs of gangrene

Applicable To

  • • Ventral hernia with obstruction

Important Notes

  • • Ensure documentation specifies obstruction without gangrene.

Ventral hernia with gangrene

Billable Code
K43.7
Billable

Applicable To

  • • Ventral hernia with gangrene

Important Notes

  • • Document gangrene explicitly to ensure correct coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

K91.3

Postprocedural intestinal obstruction

Use if obstruction occurs post-surgery.

Frequently Asked Questions

What is the ICD-10 code for abdominal hernia with obstruction?

The ICD-10 code for a ventral hernia with obstruction, without gangrene, is K43.6. If gangrene is present, use K43.7.

How should abdominal hernia defect size be documented?

Document the total defect size in centimeters before opening the hernia. This ensures accurate coding and reimbursement.

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