K52.1
K52.1: Toxic gastroenteritis and colitis
Billable / specific codeICD-10-CM
K52.1 is a billable, specific ICD-10-CM code for toxic gastroenteritis and colitis. It is valid for submission on a claim.
Check K52.1 with the rest of the claim: free scrubberCode first
The underlying condition must be sequenced before this code.
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Add a secondary code to capture the detail described below.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Drug-induced gastroenteritis and colitis
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
K52.1 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
- A55937Billing and Coding: Diagnostic Colonoscopy
- A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
- A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
Alphabetic index entries that lead here
- Toxinfection, gastrointestinal
- Colitis›drug-induced
- Colitis›toxic NEC
- Diarrhea, diarrheal›drug-induced
- Diarrhea, diarrheal›toxic
- Enteritis›drug-induced
- Enteritis›toxic NEC
- Gastroenteritis›drug-induced
- Gastroenteritis›toxic
- Intoxication›alimentary canal
- Intoxication›enteric
- Intoxication›gastrointestinal
Code history
Unchanged in every release from FY2024 to FY2027.