K52.0

K52.0: Gastroenteritis and colitis due to radiation

Billable / specific codeICD-10-CM

K52.0 is a billable, specific ICD-10-CM code for gastroenteritis and colitis due to radiation. It is valid for submission on a claim.

Check K52.0 with the rest of the claim: free scrubber

Other codes that can never be billed with K52.0

Their own Excludes1 notes name this code, so the conflict is not listed above.

T66Radiation sickness, unspecified
T66.XXXARadiation sickness, unspecified, initial encounter
T66.XXXDRadiation sickness, unspecified, subsequent encounter
T66.XXXSRadiation sickness, unspecified, sequela

Risk adjustment

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

Medicare coverage

K52.0 is named in 21 Medicare coverage policies: 21 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A55937Billing and Coding: Diagnostic Colonoscopy
A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
A56416Billing and Coding: Assays for Vitamins and Metabolic Function

Alphabetic index entries that lead here

Colitis›due to radiation
Enteritis›radiation
Enterocolitis›radiation
Gastroenteritis›due to›radiation

Code history

Unchanged in every release from FY2024 to FY2027.