ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 K40.90

Billable / Specific

Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent

K40
Block
2
Synonyms
11
LCDs
2
Payer Policies
2
Linked CPTs

About ICD-10-CM K40.90

ICD-10-CM code K40.90 represents Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent. This is a billable/specific code in the Digestive System chapter (block K40). The 2026 edition of ICD-10-CM K40.90 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under K40.90. Per CMS ICD-10-CM Tabular 2026.

  • Inguinal hernia NOS
  • Unilateral inguinal hernia NOS

Medicare LCD Coverage for K40.90

Local Coverage Determinations (LCDs) from CMS MACs that list K40.90 as a covered diagnosis.

11 LCDs

Showing top 10 of 11 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74170 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74177 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74160 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74178 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74150 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72194 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74176 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72192 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72193 →
CMS LCD: Billing and Coding: Nonvascular Extremity Ultrasound
Article ID: 56787, Effective: 2023-10-01 00:00:00, 1282 covered, 0 non-covered
CPT 76881 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing K40.90.

2 policies

2 Medicare

Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421
Billing and Coding: Nonvascular Extremity Ultrasound
Policy ID: ART-56787

CPT Codes Commonly Billed with K40.90

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

2 linkages
  • 76882 CMS LCD: Billing and Coding: Nonvascular Extremity Ultrasound CMS LCD
  • 76881 CMS LCD: Billing and Coding: Nonvascular Extremity Ultrasound CMS LCD

Convert K40.90 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
K40.90 55090 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To K40.90

Other codes in section K40-K46 (Hernia).

ICD-10 K40.90, Billing FAQ

Is ICD-10 code K40.90 billable? +

Yes, K40.90 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to K40.90? +

ICD-10 K40.90 includes: Inguinal hernia NOS; Unilateral inguinal hernia NOS.

What CPT codes are commonly billed with K40.90? +

Procedures frequently paired with K40.90 include: 76882, 76881.

What ICD-9 codes does K40.90 map to? +

Per CMS GEMs, K40.90 maps to ICD-9 codes: 55090. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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