K90-K95 — Other diseases of the digestive system
ICD-10-CM codes K90-K95 cover other diseases of the digestive system, within diseases of the digestive system. The block holds 89 codes across 5 categories, of which 67 are billable and 22 are header codes that cannot be submitted on a claim.
Risk adjustment in K90-K95
0 codes in this block map to a CMS-HCC, which means the diagnosis carries a risk-adjustment payment when it is documented and coded. Under-coding here is money left on the table; over-coding here is what audits are for.
- HCC 463 Artificial Openings for Feeding or Elimination
What else to watch in K90-K95
- 66 codes are named in Medicare coverage policies. An LCD or NCD lists them as supporting medical necessity, or explicitly as not supporting it. Which applies depends on the MAC for your state.