2025 ICD-10-CM code K50.01
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the digestive system - Noninfective enteritis and colitis Diseases of the digestive system (K00-K95) Feed
Crohn's disease of the small intestine with complications.
Medical necessity for the diagnosis and treatment of Crohn's disease and its complications is determined by the patient's clinical presentation, which should be fully documented.The presence of significant symptoms, such as abdominal pain, weight loss, diarrhea, and complications affecting the patient's quality of life, must be clearly established to support medical necessity.
Gastroenterologists, surgeons, and other specialists may be involved in the diagnosis and treatment of Crohn's disease and its complications.The clinical responsibility varies based on the patient's presentation and the severity and nature of the complications.
In simple words: This code describes Crohn's disease affecting the small intestine,a condition causing inflammation and sores in the gut, and indicates that there are additional complications like blockages or other problems.
K50.01, Crohn's disease of the small intestine with complications, is an ICD-10-CM code that classifies a specific type of inflammatory bowel disease affecting the small intestine.It indicates the presence of Crohn's disease, characterized by inflammation and ulceration of the small bowel, along with the occurrence of complications.These complications may include, but are not limited to, bowel obstruction, fistula formation, abscesses, or strictures.This code should be used when Crohn's disease primarily involves the small intestine and associated complications are present.
Example 1: A 35-year-old female patient presents with abdominal pain, weight loss, and diarrhea.Imaging studies reveal strictures in the small intestine consistent with Crohn's disease.The patient undergoes surgery to address the strictures, and code K50.01 is used to reflect the diagnosis of Crohn's disease of the small intestine with complications of stricture formation requiring surgical intervention., A 22-year-old male patient with a history of Crohn's disease experiences a bowel obstruction requiring emergency surgery.Post-operative findings confirm the presence of Crohn's disease affecting the small intestine, and code K50.01 is appropriate due to the complication of bowel obstruction., A 40-year-old female patient with diagnosed Crohn's disease presents with a perianal fistula.She undergoes a fistulotomy. The documentation clearly indicates the presence of Crohn's disease affecting the small intestine and this fistula represents a complication requiring surgical treatment. Code K50.01 is appropriate.
Detailed medical history, physical examination findings, imaging reports (e.g., endoscopy, CT scan), laboratory results (e.g., inflammatory markers), and surgical or procedural reports are required to support the diagnosis and coding of K50.01.Specific documentation of the complications should be included.
** This code is specific to Crohn's disease of the small intestine with complications.The complications should be documented and may require additional codes to fully describe the patient's condition.Always refer to the most current official coding guidelines for accurate coding practices.
- Payment Status: Active
- Specialties:Gastroenterology, Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office