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Home/Diagnosis/ICD-10 Coding for Epigastric Hernia

ICD-10 Coding for Epigastric Hernia

K43.6
K43.7
K43.9

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

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

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

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

Primary ICD-10-CM Codes

Other and unspecified ventral hernia with obstruction, without gangrene

Billable Code
K43.6
Billable

Diagnostic Criteria

  • • Presence of obstruction without gangrene

Applicable To

  • • Epigastric hernia with obstruction

Important Notes

  • • Ensure documentation specifies obstruction without gangrene.

Other and unspecified ventral hernia with gangrene

Billable Code
K43.7
Billable

Diagnostic Criteria

    Applicable To

    • • Epigastric hernia with gangrene

    Important Notes

    • • Document gangrene explicitly to support this code.

    Ventral hernia without obstruction or gangrene

    Billable Code
    K43.9
    Billable

    Diagnostic Criteria

      Applicable To

      • • Uncomplicated epigastric hernia

      Important Notes

      • • Ensure documentation confirms absence of obstruction and gangrene.
      Ancillary Codes

      Additional codes that may be used with this diagnosis

      K91.89

      Postprocedural adhesions

      Use when hernia is due to adhesions from prior surgery.

      Frequently Asked Questions

      What is the ICD-10 code for an epigastric hernia?

      The ICD-10 code for an epigastric hernia without obstruction or gangrene is K43.9. Use K43.6 if obstruction is present and K43.7 if gangrene is confirmed.

      How do you document an epigastric hernia?

      Document the size, location, reducibility, symptoms of obstruction, and any signs of gangrene. Imaging and surgical findings should support the diagnosis.

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