K52.3
K52.3: Indeterminate colitis
Billable / specific codeICD-10-CM
K52.3 is a billable, specific ICD-10-CM code for indeterminate colitis. It is valid for submission on a claim.
Check K52.3 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- unspecified colitis (K52.9)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Colonic inflammatory bowel disease unclassified (IBDU)
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
K52.3 is named in 10 Medicare coverage policies: 10 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
- A56421Billing and Coding: CT of the Abdomen and Pelvis
Alphabetic index entries that lead here
- IBDU(colonic inflammatory bowel dissease unclassified)
- Colitis›indeterminate, so stated
- Disease, diseased›colonic inflammatory bowel, unclassified(IBDU)
Code history
Unchanged in every release from FY2024 to FY2027.