K51.419 — Inflammatory polyps of colon with unspecified complications
K51.419 is a billable, specific ICD-10-CM code for inflammatory polyps of colon with unspecified complications. It is valid for submission on a claim.
Risk adjustment
K51.419 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
K51.419 is named in 13 Medicare coverage policies — 13 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
- A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
- A56416Billing and Coding: Assays for Vitamins and Metabolic Function
How K51.419 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 K51.419.
- Polyp, polypus›colon›inflammatory›with›complication
Related codes at this level
Codes that share K51.41. If K51.419 is not quite right, the correct code is usually one of these.
Questions about K51.419
- Is K51.419 a billable ICD-10-CM code?
- Yes. K51.419 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does K51.419 sit in the tabular list?
- Diseases of the digestive system (K00-K95), in the block Noninfective enteritis and colitis (K50-K52).