K43.6
Other and unspecified ventral hernia with obstruction, without gangrene
K43.6 (also written K436) is a billable ICD-10-CM diagnosis code for other and unspecified ventral hernia with obstruction, without gangrene. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 9 codes in category K43 (Ventral hernia). The Alphabetic Index lists it under 2 entries. Its coding notes include 8 Excludes2 entries.
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
Also from chapter/block level (8 notes)
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Care settings
How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.
Home Health Primary
Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Gastrointestinal tract and Genitourinary system clinical group.
Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026Hospital CC
Counts as a complication or comorbidity (CC) when reported as a secondary diagnosis on an inpatient claim. It does not count when the principal diagnosis is one of the 11 codes in its exclusion list. Some MS-DRGs also ignore a CC or MCC that defines the DRG.
Source: CMS MS-DRG Definitions Manual v44, effective October 1, 2026, Appendix CIncludes
Further defines or gives examples of the content of the category.
Also from chapter/block level (3 notes)
- acquired hernia
- congenital [except diaphragmatic or hiatus] hernia
- recurrent hernia
Inclusion terms
Conditions classified to this code.
- Epigastric hernia causing obstruction, without gangrene
- Hypogastric hernia causing obstruction, without gangrene
- Incarcerated epigastric hernia without gangrene
- Incarcerated hypogastric hernia without gangrene
- Incarcerated midline hernia without gangrene
- Incarcerated spigelian hernia without gangrene
- Incarcerated subxiphoid hernia without gangrene
- Irreducible epigastric hernia without gangrene
- Irreducible hypogastric hernia without gangrene
- Irreducible midline hernia without gangrene
- Irreducible spigelian hernia without gangrene
- Irreducible subxiphoid hernia without gangrene
- Midline hernia causing obstruction, without gangrene
- Spigelian hernia causing obstruction, without gangrene
- Strangulated epigastric hernia without gangrene
- Strangulated hypogastric hernia without gangrene
- Strangulated midline hernia without gangrene
- Strangulated spigelian hernia without gangrene
- Strangulated subxiphoid hernia without gangrene
- Subxiphoid hernia causing obstruction, without gangrene
Notes
Also from chapter/block level (1 note)
- Hernia with both gangrene and obstruction is classified to hernia with gangrene.
Alphabetic Index terms
Terms the official Alphabetic Index lists for this code. 2 entries