ICD-10-CM 2027 diagnosis code
K40.91Unilateral inguinal hernia, without obstruction or gangrene, recurrent
K40.91 is a valid, billable ICD-10-CM code for unilateral inguinal hernia, without obstruction or gangrene, recurrent. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Unilateral inguinal hernia, w/o obst or gangrene, recurrent
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About K40.91
K40.91 is the ICD-10-CM diagnosis code for unilateral inguinal hernia, without obstruction or gangrene, recurrent. It belongs to category K40 (inguinal hernia), block K40-K46 (hernia) and chapter 11 (diseases of the digestive system). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
Within K40.9 (unilateral inguinal hernia, without obstruction or gangrene), K40.91 is specifically for unilateral inguinal hernia, without obstruction or gangrene, recurrent. Related codes cover not specified as recurrent (K40.90).
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
In MS-DRG v44.0, it is part of the grouping logic for DRG 393 (Other Digestive System Diagnoses with MCC, relative weight 1.5881), DRG 394 (Other Digestive System Diagnoses with CC, relative weight 0.9228) and DRG 395 (Other Digestive System Diagnoses without CC/MCC, relative weight 0.6382), in MDC 06 (Diseases and Disorders of the Digestive System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Before ICD-10, this condition was coded in ICD-9-CM as 550.91 (inguinal hernia, without mention of obstruction or gangrene, unilateral or unspecified, recurrent).
Notes that apply from higher levels
Instructions written at a parent level also apply to K40.91.
› From K40 Inguinal hernia
- bubonocele
- direct inguinal hernia
- double inguinal hernia
- indirect inguinal hernia
- inguinal hernia NOS
- oblique inguinal hernia
- scrotal hernia
Broader instructions also apply from K40-K46 Hernia and Chapter 11: Diseases of the digestive system.
Alphabetic index entries
2 entriesTerms in the official ICD-10-CM index that lead to K40.91.
- Hernia, hernial (acquired) (recurrent) › inguinal (direct) (external) (funicular) (indirect) (internal) (oblique) (scrotal) (sliding) › recurrent
- Hernia, hernial (acquired) (recurrent) › inguinal (direct) (external) (funicular) (indirect) (internal) (oblique) (scrotal) (sliding) › unilateral › recurrent
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC 06 · Diseases and Disorders of the Digestive System
ICD-9-CM equivalent
Converter →- 550.91Inguinal hernia, without mention of obstruction or gangrene, unilateral or unspecified, recurrentexact
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about K40.91
Is K40.91 billable?
- Yes. K40.91 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can K40.91 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict K40.91 as a principal diagnosis.
Is K40.91 a CC or MCC?
- No. K40.91 is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does K40.91 group to?
- K40.91 is used in the MS-DRG v44.0 logic for MS-DRG 393 (Other Digestive System Diagnoses with MCC), MS-DRG 394 (Other Digestive System Diagnoses with CC) and MS-DRG 395 (Other Digestive System Diagnoses without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.
What is the ICD-9 code for K40.91?
- The CMS General Equivalence Mappings map K40.91 to ICD-9-CM 550.91.