K51.40: Inflammatory polyps of colon without complications
K51.40 is a billable, specific ICD-10-CM code for inflammatory polyps of colon without complications. It is valid for submission on a claim.
Check K51.40 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Inflammatory polyps of colon NOS
Excludes1 inherited from the categories above K51.40
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above K51.40
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with K51.40
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
K51.40 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 81 Ulcerative Colitis0.244 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
K51.40 is named in 19 Medicare coverage policies: 19 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52423Billing and Coding: Infliximab and biosimilars
- A55717Billing and Coding: Lab: Flow Cytometry
- A55937Billing and Coding: Diagnostic Colonoscopy
- A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
Alphabetic index entries that lead here
- Inflammation, inflamed, inflammatory›polyp, colon
- Polyp, polypus›colon›inflammatory
Code history
Unchanged in every release from FY2024 to FY2027.