K50.819: Crohn's disease of both small and large intestine with unspecified complications
K50.819 is a billable, specific ICD-10-CM code for crohn's disease of both small and large intestine with unspecified complications. It is valid for submission on a claim.
Check K50.819 with the rest of the claim: free scrubberOther codes that can never be billed with K50.819
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
K50.819 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 80 Crohn's Disease (Regional Enteritis)0.550 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
K50.819 is named in 16 Medicare coverage policies: 16 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52423Billing and Coding: Infliximab and biosimilars
- A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
- A56416Billing and Coding: Assays for Vitamins and Metabolic Function
- A56421Billing and Coding: CT of the Abdomen and Pelvis
Alphabetic index entries that lead here
- Enteritis›regional›large intestine›with›complication›small intestine involvement›with›complication
- Enteritis›regional›small intestine›with›complication›large intestine involvement›with›complication
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under K50.81
- K50.811Crohn's disease of both small and large intestine with rectal bleeding
- K50.812Crohn's disease of both small and large intestine with intestinal obstruction
- K50.813Crohn's disease of both small and large intestine with fistula
- K50.814Crohn's disease of both small and large intestine with abscess
- K50.818Crohn's disease of both small and large intestine with other complication