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K43.0

Billable

Incisional hernia with obstruction, without 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 through a previous surgical scar that is trapped and cannot move back, but the tissue is not dying.

Coding Tips

  • •Incisional hernias occur through weakened surgical incision sites
  • •Obstruction without gangrene indicates urgent but not immediately life-threatening condition

Code Hierarchy

└K43Ventral hernia└K43.0Incisional hernia with obstruction, without gangrene
└K43.0Incisional hernia with obstruction, without gangrene

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