ICD-10 Code K43.5 – Parastomal hernia without obstruction or gangrene (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Parastomal hernia without obstruction or gangrene is K43.5.
2026 ICD-10-CM Diagnosis Code K43.5 – Parastomal hernia without obstruction or gangrene

What it is

This code identifies a hernia that develops beside a stoma, where abdominal contents bulge through the abdominal wall. It applies when there is no bowel obstruction and no gangrene.

Clinical signs

Typical findings include a visible or palpable bulge near the stoma, discomfort, or appliance fit problems. Clinical features vary; refer to documentation.

When to use this code

Use K43.5 when the provider documents a parastomal hernia and specifically states there is no obstruction or gangrene. It also fits follow-up visits, imaging impressions, or surgical evaluations that confirm the hernia without acute complication.

Do not use for

Do not use this code if the record documents obstruction or gangrene, since those require different coding. Also avoid it when the hernia is not parastomal or the documentation is unclear.

Coding tip

Check the note for laterality, complication status, and whether the hernia is truly parastomal before assigning K43.5.

Similar Posts

Leave a Reply

Your email address will not be published. Required fields are marked *