MCMCB Pro
K51.418

K51.418Inflammatory polyps of colon with other complication

Billable / specific codeICD-10-CM

K51.418 is a billable, specific ICD-10-CM code for inflammatory polyps of colon with other complication. It is valid for submission on a claim.

Risk adjustment

K51.418 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.

Medicare coverage

K51.418 is named in 23 Medicare coverage policies 23 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A52423Billing and Coding: Infliximab and biosimilars
  • A52423Billing and Coding: Infliximab and biosimilars
  • A55937Billing and Coding: Diagnostic Colonoscopy
  • A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic

How K51.418 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to K51.418.

  • Polyp, polypuscoloninflammatorywithcomplicationspecified NEC

Related codes at this level

Codes that share K51.41. If K51.418 is not quite right, the correct code is usually one of these.

Questions about K51.418

Is K51.418 a billable ICD-10-CM code?
Yes. K51.418 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does K51.418 sit in the tabular list?
Diseases of the digestive system (K00-K95), in the block Noninfective enteritis and colitis (K50-K52).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.