K38.1

K38.1: Appendicular concretions

Billable / specific codeICD-10-CM

K38.1 is a billable, specific ICD-10-CM code for appendicular concretions. It is valid for submission on a claim.

Check K38.1 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Fecalith of appendix
Stercolith of appendix

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

K38.1 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56421Billing and Coding: CT of the Abdomen and Pelvis
A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
A56632Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy

Alphabetic index entries that lead here

Calculus, calculi, calculous›appendix
Concretion›appendicular
Fecalith›appendix
Stercolith›appendix

Code history

Unchanged in every release from FY2024 to FY2027.