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K42.9

Billable

Umbilical hernia without obstruction or gangrene

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A bulge of tissue protruding through the belly button that is not trapped and the tissue is healthy.

Coding Tips

  • Use this code when there is no obstruction and no gangrene present
  • This is the most common presentation of umbilical hernia and may be managed conservatively or surgically depending on symptoms

Code Hierarchy

K42Umbilical herniaK42.9Umbilical hernia without obstruction or gangrene
K42.9Umbilical hernia without obstruction or gangrene

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