InnovaRx Innova Health Strategies

K42

Umbilical hernia

Not billable — category only FY2026 2025-10-01 → 2026-09-30
Exclusions 9 never code together
K42code
Excludes1
K00-K95chapter
Excludes2
  • certain conditions originating in the perinatal period (P04-P96)P04-P96
  • certain infectious and parasitic diseases (A00-B99)A00-B99
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)Q00-Q99
  • endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
  • injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
  • neoplasms (C00-D49)C00-D49
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 5
K42code
Includes
  • paraumbilical hernia
K40-K46block
Notes
  • Hernia with both gangrene and obstruction is classified to hernia with gangrene.
Includes
  • acquired hernia
  • congenital [except diaphragmatic or hiatus] hernia
  • recurrent hernia
Index entries leading here filed at null

No alphabetic index entry points at this code.

Subordinate codes 3
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

Maps to no condition category in any loaded model.

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
no
Code set
FY2026
Block
K40-K46
Subordinate
3

Present FY2024–FY2027.