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Home/Diagnosis/ICD-10 Coding for Ventral Hernia

ICD-10 Coding for Ventral Hernia

K43.9
K43.6

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

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

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

Use ICD-10 code K43.9 for ventral hernia without obstruction or gangrene, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Ventral hernia without obstruction or gangrene

Billable Code
K43.9
Billable

Diagnostic Criteria

  • • Hernia present without signs of obstruction or gangrene

Applicable To

  • • Uncomplicated ventral hernia

Important Notes

  • • Ensure documentation specifies the absence of obstruction or gangrene.

Ventral hernia with obstruction, without gangrene

Billable Code
K43.6
Billable

Diagnostic Criteria

  • • Imaging showing obstruction
  • • Symptoms of bowel obstruction

Applicable To

  • • Obstructed ventral hernia

Important Notes

  • • Document obstruction clearly to avoid misclassification.
Ancillary Codes

Additional codes that may be used with this diagnosis

K91.89

Postprocedural adhesions

Use when adhesions are present and causing obstruction.

Frequently Asked Questions

What is the ICD-10 code for ventral hernia?

The ICD-10 code for a ventral hernia without obstruction or gangrene is K43.9. Use K43.6 if obstruction is present.

How do you document a ventral hernia?

Document the hernia type, size, location, and any complications such as obstruction or gangrene. Include imaging and surgical details.

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