Chapter XI
Diseases of the digestive system
(K00-K93)

Hernia
(K40-K46)

Note:

Hernia with both gangrene and obstruction is classified to hernia with gangrene.

Incl.:
hernia:
  • acquired
  • congenital [except diaphragmatic or hiatus]
  • recurrent

K40 Inguinal hernia

Incl.:
bubonocele
inguinal hernia:
  • NOS
  • direct
  • double
  • indirect
  • oblique
scrotal hernia
K40.0 Bilateral inguinal hernia, with obstruction, without gangrene
K40.1 Bilateral inguinal hernia, with gangrene
K40.2 Bilateral inguinal hernia, without obstruction or gangrene
Incl.:
Bilateral inguinal hernia NOS
K40.3 Unilateral or unspecified inguinal hernia, with obstruction, without gangrene
Incl.:
  • Inguinal hernia (unilateral):
    • causing obstruction
    • incarcerated
    • irreducible
    • strangulated
  • without gangrene
K40.4 Unilateral or unspecified inguinal hernia, with gangrene
Incl.:
Inguinal hernia NOS with gangrene
K40.9 Unilateral or unspecified inguinal hernia, without obstruction or gangrene
Incl.:
Inguinal hernia (unilateral) NOS

K41 Femoral hernia

K41.0 Bilateral femoral hernia, with obstruction, without gangrene
K41.1 Bilateral femoral hernia, with gangrene
K41.2 Bilateral femoral hernia, without obstruction or gangrene
Incl.:
Bilateral femoral hernia NOS
K41.3 Unilateral or unspecified femoral hernia, with obstruction, without gangrene
Incl.:
  • Femoral hernia (unilateral):
    • causing obstruction
    • incarcerated
    • irreducible
    • strangulated
  • without gangrene
K41.4 Unilateral or unspecified femoral hernia, with gangrene
K41.9 Unilateral or unspecified femoral hernia, without obstruction or gangrene
Incl.:
Femoral hernia (unilateral) NOS

K42 Umbilical hernia

Incl.:
paraumbilical hernia
Excl.:
omphalocele ( Q79.2)
K42.0 Umbilical hernia with obstruction, without gangrene
Incl.:
  • Umbilical hernia:
    • causing obstruction
    • incarcerated
    • irreducible
    • strangulated
  • without gangrene
K42.1 Umbilical hernia with gangrene
Incl.:
Gangrenous umbilical hernia
K42.9 Umbilical hernia without obstruction or gangrene
Incl.:
Umbilical hernia NOS

K43 Ventral hernia

K43.0 Incisional hernia with obstruction, without gangrene
Incl.:
  • Incisional hernia:
    • causing obstruction
    • incarcerated
    • irreducible
    • strangulated
  • without gangrene
K43.1 Incisional hernia with gangrene
Incl.:
Gangrenous incisional hernia
K43.2 Incisional hernia without obstruction or gangrene
Incl.:
Incisional hernia NOS
K43.3 Parastomal hernia with obstruction, without gangrene
Incl.:
  • Parastomal hernia:
    • causing obstruction
    • incarcerated
    • irreducible
    • strangulated
  • without gangrene
K43.4 Parastomal hernia with gangrene
Incl.:
Gangrenous parastomal hernia
K43.5 Parastomal hernia without obstruction or gangrene
Incl.:
Parastomal hernia NOS
K43.6 Other and unspecified ventral hernia with obstruction without gangrene
Incl.:
Hernia:
  • epigastric
  • hypogastric
  • midline
  • spigelian
  • subxiphoid
  • Any condition listed under K43.6
    • causing obstruction
    • incarcerated
    • irreducible
    • strangulated
  • without gangrene
K43.7 Other and unspecified ventral hernia with gangrene
Incl.:
Any condition listed under K43.6 specified as gangrenous
K43.9 Other and unspecified ventral hernia without obstruction or gangrene
Incl.:
Ventral hernia NOS

K44 Diaphragmatic hernia

Incl.:
hiatus hernia (oesophageal)(sliding)
paraoesophageal hernia
Excl.:
congenital hernia:
K44.0 Diaphragmatic hernia with obstruction, without gangrene
Incl.:
  • Diaphragmatic hernia:
    • causing obstruction
    • incarcerated
    • irreducible
    • strangulated
  • without gangrene
K44.1 Diaphragmatic hernia with gangrene
Incl.:
Gangrenous diaphragmatic hernia
K44.9 Diaphragmatic hernia without obstruction or gangrene
Incl.:
Diaphragmatic hernia NOS

K45 Other abdominal hernia

Incl.:
hernia:
  • abdominal, specified site NEC
  • lumbar
  • obturator
  • pudendal
  • retroperitoneal
  • sciatic
K45.0 Other specified abdominal hernia with obstruction, without gangrene
Incl.:
  • Any condition listed under K45:
    • causing obstruction
    • incarcerated
    • irreducible
    • strangulated
  • without gangrene
K45.1 Other specified abdominal hernia with gangrene
Incl.:
Any condition listed under K45 specified as gangrenous
K45.8 Other specified abdominal hernia without obstruction or gangrene

K46 Unspecified abdominal hernia

Incl.:
enterocele
epiplocele
hernia:
  • NOS
  • interstitial
  • intestinal
  • intra-abdominal
Excl.:
vaginal enterocele ( N81.5)
K46.0 Unspecified abdominal hernia with obstruction, without gangrene
Incl.:
  • Any condition listed under K46:
    • causing obstruction
    • incarcerated
    • irreducible
    • strangulated
  • without gangrene
K46.1 Unspecified abdominal hernia with gangrene
Incl.:
Any condition listed under K46 specified as gangrenous
K46.9 Unspecified abdominal hernia without obstruction or gangrene
Incl.:
Abdominal hernia NOS