K52.9
K52.9: Noninfective gastroenteritis and colitis, unspecified
Billable / specific codeICD-10-CM
K52.9 is a billable, specific ICD-10-CM code for noninfective gastroenteritis and colitis, unspecified. It is valid for submission on a claim.
Check K52.9 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.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Colitis NOS
- Enteritis NOS
- Gastroenteritis NOS
- Ileitis NOS
- Jejunitis NOS
- Sigmoiditis NOS
Other codes that can never be billed with K52.9
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
K52.9 is named in 9 Medicare coverage policies: 9 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
- Cecitis
- Colitis(acute) (catarrhal) (chronic) (noninfective) (hemorrhagic)
- Enteritis(acute) (diarrheal) (hemorrhagic) (noninfective)
- Enterocolitis
- Gastroenteritis(acute) (chronic) (noninfectious)
- Gastroenteropathy
- Gastrojejunitis
- Ileitis(chronic) (noninfectious)
- Ileocolitis
- Sigmoiditis
- Colitis›noninfective
- Diarrhea, diarrheal›chronic(noninfectious)
Code history
Unchanged in every release from FY2024 to FY2027.