2025 ICD-10-CM code K52
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Gastrointestinal Diseases - Other and unspecified noninfective gastroenteritis and colitis Diseases of the digestive system Feed
Other and unspecified noninfective gastroenteritis and colitis.
ICD-10-CM codes do not use modifiers.
Medical necessity is established through the presence of symptoms consistent with gastroenteritis and colitis, supported by the clinical findings and diagnostic tests. The treatment should be medically appropriate and necessary to alleviate symptoms and prevent complications.
The clinical responsibility lies with the physician diagnosing and managing the patient's gastroenteritis and colitis. This includes conducting a thorough history, performing a physical examination, ordering appropriate tests (e.g., stool analysis, imaging), and determining the best course of treatment.
In simple words: This code describes inflammation in your stomach or intestines that isn't caused by an infection.The reason for the inflammation might be an allergy, something you ate, or it might be unknown.
This ICD-10-CM code encompasses various forms of noninfectious inflammation of the stomach and intestines that are not otherwise specified.It includes conditions where the inflammation is not caused by an infection but may result from other factors such as allergies, dietary issues, or unknown causes.This code is used when a more specific diagnosis within the K50-K52 range cannot be established.
Example 1: A patient presents with abdominal pain, diarrhea, and nausea.After ruling out infectious causes, the physician diagnoses them with non-specific gastroenteritis and colitis due to possible food intolerance. Code K52 is assigned., A patient undergoing radiation therapy for cancer develops inflammation of the intestines (radiation enteritis). While K52.0 is more specific, if the documentation is not clear enough, K52 might be used., A patient experiences persistent diarrhea and abdominal discomfort.Despite extensive testing, no specific cause is identified. The physician diagnoses them with unspecified noninfective gastroenteritis and colitis, and code K52 is used.
Thorough history and physical examination documenting symptoms (abdominal pain, diarrhea, nausea, vomiting, etc.), results of any diagnostic tests (stool cultures to rule out infection, imaging studies, allergy testing if indicated), and treatment plan.
** This code is for noninfectious causes.Infectious causes should be coded using codes from Chapter I (Certain infectious and parasitic diseases).
- Revenue Code: Revenue codes will vary depending on the specific services provided and the payer.
- RVU: RVUs are not directly assigned to ICD-10 codes.Reimbursement is determined by the procedures and services performed, which are coded using CPT codes.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes.
- Specialties:Gastroenterology, Internal Medicine, Family Medicine
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient, Urgent Care Facility, Other Place of Service