K52.89 — Other specified noninfective gastroenteritis and colitis
K52.89 is a billable, specific ICD-10-CM code for other specified noninfective gastroenteritis and colitis. It is valid for submission on a claim.
Risk adjustment
K52.89 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
K52.89 is named in 17 Medicare coverage policies — 17 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
- A55937Billing and Coding: Diagnostic Colonoscopy
- A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
- A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
How K52.89 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 K52.89.
- Colitis›cystica superficialis
- Diarrhea, diarrheal›cachectic NEC
- Colitis›noninfective›specified NEC
- Gastroenteritis›noninfectious›specified NEC
Related codes at this level
Codes that share K52.8. If K52.89 is not quite right, the correct code is usually one of these.
Questions about K52.89
- Is K52.89 a billable ICD-10-CM code?
- Yes. K52.89 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does K52.89 sit in the tabular list?
- Diseases of the digestive system (K00-K95), in the block Noninfective enteritis and colitis (K50-K52).