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What is the ICD-10 Code for Colitis?

Published in Medical Coding 2 mins read

The ICD-10 code for colitis depends on the specific type and cause of the colitis. However, a general code is available when the type is unspecified.

Specifically, K52.9, Noninfective gastroenteritis and colitis, unspecified, is a billable ICD-10-CM code used to indicate a diagnosis for reimbursement purposes when the specific type of non-infective colitis is not specified.

Here's a breakdown to illustrate why a single, definitive code is difficult to provide without further information:

  • Colitis can be caused by various factors: Infections, inflammatory bowel disease (IBD) such as ulcerative colitis and Crohn's disease, microscopic colitis, ischemic colitis, and allergic reactions can all cause colitis.

  • Each cause has a different ICD-10 code: For example, ulcerative colitis has its own set of codes (K51.x), while infectious colitis will have codes related to the specific infectious agent.

  • The term "colitis" is a general term: It describes inflammation of the colon, but it doesn't specify the underlying cause.

Therefore, K52.9 is used when a patient is diagnosed with colitis and the exact cause is not identified, or when a more specific code is not available. To find the correct code, more information about the cause of the colitis is needed.

For example:

  • Ulcerative Colitis: K51 (with subcategories for the extent and complications)
  • Crohn's disease of the colon: K50.0 (with subcategories for complications)
  • Infectious Colitis: A09.0 (Gastroenteritis and colitis of infectious origin) if the infectious agent isn't specified. If the specific bacteria/virus is known, then the code will reflect that infection.
  • Microscopic Colitis: This may fall under K52.89 (Other specified noninfective gastroenteritis and colitis) if more specific than K52.9

In conclusion, while K52.9 is often cited as a code for colitis, it's crucial to recognize that it's a general code used when the specific type or cause of the colitis is not known or specified. Accurate coding requires identifying the underlying etiology.

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