2025 ICD-10-CM code K50.911
(Active) Effective Date: N/A Diseases of the digestive system - Noninfective enteritis and colitis Diseases of the digestive system (K00-K95) Feed
Crohn's disease, unspecified, with rectal bleeding.
The medical necessity for using this code is based on the presence of signs, symptoms, and diagnostic findings consistent with Crohn's disease and associated rectal bleeding. The documentation should support the medical necessity of the services provided to evaluate, diagnose, and manage the patient's condition. The presence of rectal bleeding in a patient with Crohn’s disease requires intervention to address the underlying cause.
The physician is responsible for diagnosing Crohn's disease and its associated rectal bleeding through a thorough examination, which may include physical examination, imaging studies (such as CT scans or MRIs), and endoscopic procedures (like colonoscopy). The physician is also responsible for determining the severity and extent of the disease, managing the patient's condition, and prescribing appropriate medication or recommending surgical intervention if necessary.
- Diseases of the digestive system (K00-K95)
- K50 - Crohn’s diseaseIncludes: granulomatous enteritisExcludes1: ulcerative colitis (K51.-)Use additional code to identify manifestations, such as:pyoderma gangrenosum (L88)
In simple words: This code signifies Crohn's disease, a type of inflammatory bowel disease, present in an unspecified location within the digestive system and accompanied by bleeding from the rectum.
Crohn's disease affecting an unspecified part of the digestive system, accompanied by rectal bleeding.
Example 1: A 25-year-old patient presents with persistent diarrhea, abdominal pain, and rectal bleeding. After a thorough evaluation, including a colonoscopy, the physician diagnoses Crohn's disease involving an unspecified area with rectal bleeding., A 40-year-old patient with a history of Crohn's disease experiences a flare-up, resulting in severe abdominal cramping, bloody diarrhea, and rectal bleeding. The patient is admitted to the hospital for intensive medical management., A 60-year-old patient undergoes a routine colonoscopy, revealing inflammation and ulcerations in the digestive tract.Further testing confirms the diagnosis of Crohn's disease of an unspecified site. Rectal bleeding is identified as a current symptom.
Documentation for this code should include details of the diagnostic evaluation, including physical findings, laboratory results (such as blood tests, stool studies), imaging reports, and endoscopic findings. The documentation should clearly indicate the presence of rectal bleeding and its association with Crohn's disease. The location of Crohn's disease within the digestive tract, if known, should be documented using a more specific code.If the location is unspecified, K50.911 is appropriate.
- Payment Status: Active
- Specialties:Gastroenterology
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Office