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K43.9

Billable

Ventral 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 ventral hernia (bulge in the abdominal wall) without any complications like obstruction or tissue death.

Coding Tips

  • •This is the least severe ventral hernia code; use only when no obstruction or gangrene is documented
  • •Verify the hernia location is ventral (anterior abdominal wall) and not incisional, umbilical, or epigastric for more specific coding

Code Hierarchy

└K43Ventral hernia└K43.9Ventral hernia without obstruction or gangrene
└K43.9Ventral hernia without obstruction or gangrene

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