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.
Includes:	hernia: · acquired · congenital [except diaphragmatic or hiatus] · recurrent


K40		Inguinal hernia
		Includes:	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
		Bilateral inguinal hernia NOS
K40.3		Unilateral or unspecified inguinal hernia, with obstruction, without gangrene
		Inguinal hernia (unilateral):
		· causing obstruction · incarcerated · irreducible · strangulated				} } } }	without gangrene
K40.4		Unilateral or unspecified inguinal hernia, with gangrene
		Inguinal hernia NOS with gangrene
K40.9		Unilateral or unspecified inguinal hernia, without obstruction or gangrene
		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
		Bilateral femoral hernia NOS
K41.3		Unilateral or unspecified femoral hernia, with obstruction, without gangrene
		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
		Femoral hernia (unilateral) NOS


K42		Umbilical hernia
		Includes:	paraumbilical hernia
		Excludes:	omphalocele ( Q79.2 )
K42.0		Umbilical hernia with obstruction, without gangrene
		Umbilical hernia:
		· causing obstruction · incarcerated · irreducible · strangulated				} } } }	without gangrene
K42.1		Umbilical hernia with gangrene
		Gangrenous umbilical hernia
K42.9		Umbilical hernia without obstruction or gangrene
		Umbilical hernia NOS


K43		Ventral hernia
		Includes:	hernia: · epigastric · incisional
K43.0		Ventral hernia with obstruction, without gangrene
		Ventral hernia:
		· causing obstruction · incarcerated · irreducible · strangulated				} } } }	without gangrene
K43.1		Ventral hernia with gangrene
		Gangrenous ventral hernia
K43.9		Ventral hernia without obstruction or gangrene
		Ventral hernia NOS


K44		Diaphragmatic hernia
		Includes:	hiatus hernia (oesophageal)(sliding) paraoesophageal hernia
		Excludes:	congenital hernia: · diaphragmatic ( Q79.0 ) · hiatus ( Q40.1 )
K44.0		Diaphragmatic hernia with obstruction, without gangrene
		Diaphragmatic hernia:
		· causing obstruction · incarcerated · irreducible · strangulated				} } } }	without gangrene
K44.1		Diaphragmatic hernia with gangrene
		Gangrenous diaphragmatic hernia
K44.9		Diaphragmatic hernia without obstruction or gangrene
		Diaphragmatic hernia NOS


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


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