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2025 ICD-10-CM code K50

Crohn's disease [regional enteritis].Includes granulomatous enteritis. Use additional code to identify manifestations.

Refer to the official ICD-10-CM coding guidelines for complete instructions on coding Crohn's disease and related complications.

Medical necessity for coding K50 is established through clinical documentation supporting the diagnosis of Crohn's disease. This includes comprehensive evaluation of symptoms, physical examination, diagnostic imaging, and laboratory testing to rule out other conditions. The severity and impact of the disease on the patient's quality of life must also be documented.

Gastroenterologist, surgeon

IMPORTANT:Excludes1: ulcerative colitis (K51.-), irritable bowel syndrome (K58.-)

In simple words: K50 is a medical code for Crohn's disease, a type of inflammatory bowel disease.It's important to use extra codes to describe any other problems that might be happening at the same time.

K50 is an ICD-10-CM code representing Crohn's disease, also known as regional enteritis.This code encompasses granulomatous enteritis.Additional codes are necessary to specify any accompanying manifestations, such as pyoderma gangrenosum (L88).It is crucial to differentiate K50 from ulcerative colitis (K51.-) and irritable bowel syndrome (K58.-).

Example 1: A 35-year-old patient presents with chronic abdominal pain, diarrhea, weight loss, and fatigue.Colonoscopy reveals transmural inflammation consistent with Crohn's disease affecting the terminal ileum and ascending colon.K50 is coded., A 22-year-old patient with a history of Crohn's disease experiences a flare-up with severe abdominal pain and high fever.Laboratory tests show elevated inflammatory markers.The patient undergoes hospitalization and intravenous steroid treatment. K50 is coded, along with additional codes reflecting the complications and treatment., A 40-year-old patient with known Crohn's disease develops a perianal fistula.Surgical intervention is required to repair the fistula.K50 is used to code the underlying Crohn's disease, along with additional codes specifying the fistula and the surgical procedure.

Detailed history and physical examination, including duration and character of symptoms (abdominal pain, diarrhea, weight loss, etc.), results of laboratory tests (inflammatory markers, fecal calprotectin), endoscopic findings (colonoscopy, ileoscopy), and imaging studies (abdominal CT scan, MRI).

** Always code to the highest level of specificity.Consult with a qualified coding specialist for complex cases.

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