K46.0
BillableUnspecified abdominal hernia with obstruction, without gangrene
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is K46.0 an HCC code?
No. K46.0 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
K46.0 is the ICD-10-CM diagnosis code for unspecified abdominal hernia with obstruction, without gangrene. An abdominal hernia of unspecified type that is blocked or trapped, but without tissue death. K46.0 sits in the ICD-10-CM chapter for diseases of the digestive system (k00-k95), within the section covering hernia (k40-k46).
K46.0 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
K46 codes indicate the hernia type is not specified; attempt to obtain more specific documentation for K43, K44, or K45 coding.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for K46.0 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.