K56.7 — Ileus, unspecified
K56.7 is a billable, specific ICD-10-CM code for ileus, unspecified. It is valid for submission on a claim.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- obstructive ileus (K56.69-)
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Other codes that can never be billed with K56.7
These codes carry an Excludes1 note pointing at K56.7. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading K56.7 alone.
- K56.0Paralytic ileus
Risk adjustment
K56.7 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 78 Intestinal Obstruction/Perforation0.326 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
K56.7 is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56632Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
- A58963Billing and Coding: Multiplex Gastrointestinal Pathogen Panel (GPP) Tests for Acute Gastroenteritis (AGE)
How K56.7 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 K56.7.
- Ileus(bowel) (colon) (inhibitory) (intestine)
Related codes at this level
Codes that share K56. If K56.7 is not quite right, the correct code is usually one of these.
Questions about K56.7
- Is K56.7 a billable ICD-10-CM code?
- Yes. K56.7 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does K56.7 sit in the tabular list?
- Diseases of the digestive system (K00-K95), in the block Other diseases of intestines (K55-K64).
- What cannot be coded together with K56.7?
- K56.7 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.