K46
K46 — Unspecified abdominal hernia
Non-billable headerICD-10-CM
K46 is a non-billable header ICD-10-CM code for unspecified abdominal hernia. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- vaginal enterocele (N81.5)
Includes
Conditions this code covers.
- enterocele
- epiplocele
- hernia NOS
- interstitial hernia
- intestinal hernia
- intra-abdominal hernia
Other codes that can never be billed with K46
These codes carry an Excludes1 note pointing at K46. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading K46 alone.
- I96Gangrene, not elsewhere classified
Risk adjustment
K46 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead K46
3 child codes. Green means billable.
Questions about K46
- Is K46 a billable ICD-10-CM code?
- No. K46 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does K46 sit in the tabular list?
- Diseases of the digestive system (K00-K95), in the block Hernia (K40-K46).
- What cannot be coded together with K46?
- K46 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.