Ventral Hernia ICD-10-CM Codes | 2023

Read this short guide to learn about Ventral Hernia ICD codes you can use!

By Katherine Ellison on Feb 29, 2024.

Fact Checked by Ericka Pingol.

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Ventral Hernia ICD-10-CM Codes | 2023

What Ventral Hernia ICD-10 codes can I use?

If you’re looking for Ventral Hernia ICD codes, there are several to pick from. We selected six examples to give you an idea of what to expect when looking for such codes. Here they are:

  • K43.9 - Ventral hernia without obstruction or gangrene

This ICD-10 code is meant to be used on a patient confirmed to have a ventral hernia but without obstruction or gangrene.

  • K43.2 - Incisional hernia without obstruction or gangrene

This is similar to Item 1, but this time, the specific type of ventral hernia is an incisional hernia. Like Item 1, there are no complications (obstructions, gangrene).

  • K43.0 - Incisional hernia with obstruction, without gangrene

This is the same as Item 2, but this time, the hernia is accompanied by an obstruction but no gangrene.

  • K43.1 - Incisional hernia with gangrene

This is the same as Item 2, but this time, the hernia is accompanied by gangrene. If there is gangrene, it’s safe to assume that an obstruction or an infection caused it.

  • K42.0 - Umbilical hernia with obstruction, without gangrene

This is similar to Item 3, but this time, the specific type of ventral hernia is an umbilical hernia.

  • K43.6 - Other and unspecified ventral hernia with obstruction, without gangrene
  • This is meant to be used on patients with a type of ventral hernia that doesn’t have a specific ICD-10 code.

Are these Ventral Hernia ICD-10 codes billable?

Yes. All of the aforementioned ICD-10 codes for Ventral Hernia are valid and billable.

Clinical information about Ventral Hernia:

The bulging of our insides characterizes a hernia through openings or weaknesses in specific muscles or tissues.

Ventral hernias involve the protrusion of the abdominal organs and/or tissue through openings/weaknesses in the abdominal wall.

There are different types of ventral hernias, and the specific location determines the type in the abdomen where it’s present:

  • Incisional hernias occur when abdominal organs or tissues bulge through an incision made during a surgical procedure. This happens when the incision site doesn’t heal properly over time.
  • Umbilical hernias mainly occur in infants. This happens when the abdominal wall around the umbilicus doesn’t close properly during the development of the fetus. It may also occur in adults due to obesity or pregnancy.
  • Epigastric hernias occur between the sternum and umbilicus, often resulting in a visible bulge in the skin in that area.

Synonyms include:

  • Hernia of anterior abdominal wall
  • Recurrent hernia of anterior abdominal wall
  • Rupture of hernia of abdominal wall
  • Incisional hernia
  • Ventral incisional hernia
  • Epigastric hernia
  • Paraumbilical hernia
  • Obstructed umbilical hernia
  • Irreducible umbilical hernia
  • Strangulated umbilical hernia
  • Ventral hernia ICD 10
  • ICD 10 code for ventral hernia
  • ICD 10 ventral hernia
  • Incarcerated ventral hernia ICD 10
  • ICD 10 code for incarcerated ventral hernia
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Commonly asked questions

Since incisional hernias occur due to surgery, how can healthcare professionals prevent these from occurring?

During surgery, healthcare professionals may apply a mesh reinforcement to lower the likelihood of an incisional hernia or a hernia recurrence.

How can a person tell if they have a hernia?

Some hernias are asymptomatic, but people should be on the lookout for the following ventral hernia symptoms:

  • Abdominal pain/discomfort when lifting
  • Abdominal pain/discomfort when coughing
  • Nausea and vomiting
  • Visible bulge in the abdominal area

If they have any of these symptoms, it would be best for them to schedule a consultation to have it checked.

How are ventral hernias diagnosed?

If there is a bulge, that’ll give it away, but to be sure, especially about its size and specific location, healthcare professionals will conduct an imaging test like a CT scan or MRI.

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