Ventral hernia without obstruction or gangrene
Other and unspecified ventral hernia with obstruction, without gangrene. K43.6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM K43.6 became effective on October 1, 2018.
Diagnosis Index entries containing back-references to K43.0: Hernia, hernial (acquired) (recurrent) K46.9 ICD-10-CM Diagnosis Code K46.9. Unspecified abdominal hernia without obstruction or gangrene 2016 2017 2018 2019 Billable/Specific Code Incision, incisional hernia K43.2 ICD-10-CM Diagnosis Code K43.2.
This is the American ICD-10-CM version of K43.6 - other international versions of ICD-10 K43.6 may differ. Hernia with both gangrene and obstruction is classified to hernia with gangrene. Code annotations containing back-references to K43.6:
A: An incarcerated ventral hernia occurs when the intestine becomes trapped in the weak abdominal wall and can’t be pushed back inside the abdominal cavity. This may cause a blockage or cut off the blood supply to the intestine.
There is a separate, specific code — 49525 Repair inguinal hernia, sliding, any age — for the repair of a reducible, sliding inguinal hernia. If the hernia is incarcerated or strangulated, however, 49525 does not apply. Instead, you would revert to 49496, 49501, 49507, or 49521, as appropriate.
Incarcerated ventral hernia was defined as irreducible hernia associated with symptoms of bowel obstruction, yet with no compromise of the blood supply of the bowel. Strangulated hernia presented with partial or complete interruption of the blood supply of the intestine.
Hernia repairCPT codeDescriptor2017 work RVU49561Repair initial incisional or ventral hernia; incarcerated or strangulated15.3849565Repair recurrent incisional or ventral hernia; reducible12.3749566Repair recurrent incisional or ventral hernia; incarcerated or strangulated15.5340 more rows•Apr 1, 2017
Reducible hernia: Hernia contents can be completely returned to the peritoneal cavity. Irreducible hernia (also known as incarcerated hernia): Hernia contents cannot be completely returned to the peritoneal cavity.
An incarcerated hernia or obstructed hernia is one in which the tissues have become trapped. This is also called a non-reducible hernia and is very serious because it may lead to intestine or tissue strangulation.
Hernias. Incarcerated hernias account for 10 to 20% of cases of small bowel obstruction. These patients usually require urgent operation as they are at significant risk for strangulation and are not likely to resolve their obstruction spontaneously.
CPT® Code 44005 in section: Incision Procedures on the Intestines (Except Rectum)
CPT® Code 49505 in section: Repair initial inguinal hernia, age 5 years or older.
49653 Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); incarcerated or strangulated.
An incarcerated inguinal hernia is a hernia that becomes stuck in the groin or scrotum and cannot be massaged back into the abdomen. An incarcerated hernia is caused by swelling and can lead to a strangulated hernia, in which the blood supply to the incarcerated small intestine is jeopardized.
ICD Code K43 is a non-billable code. To code a diagnosis of this type, you must use one of the nine child codes of K43 that describes the diagnosis 'ventral hernia' in more detail. K43 Ventral hernia. NON-BILLABLE. BILLABLE.
Hernias come in a number of different types. Most commonly they involve the abdomen, specifically the groin.
Groin hernias occur more often on the right than left side. The main concern is strangulation, where the blood supply to part of the bowel is blocked. This usually produces severe pain and tenderness of the area. Hiatus or hiatal hernias often result in heartburn but may also cause chest pain or pain with eating.
K43. Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail. ICD Code K43 is a non-billable code.
A bulging area may occur that becomes larger when bearing down. Groin hernias occur more often on the right than left side.
Groin hernias are most common of the inguinal type but may also be femoral. Other hernias include hiatus, incisional, and umbilical hernias. For groin hernias symptoms are present in about 66% of people. This may include pain or discomfort especially with coughing, exercise, or going to the toilet.