K57

K57: Diverticular disease of intestine

Non-billable headerICD-10-CM

K57 is a non-billable header ICD-10-CM code for diverticular disease of intestine. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

congenital diverticulum of intestine (Q43.8)
Meckel's diverticulum (Q43.0)

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.

diverticulum of appendix (K38.2)

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

if applicable:
pelvic abscess (K6A.0-)
peritonitis (K65.-)

Other codes that can never be billed with K57

Their own Excludes1 notes name this code, so the conflict is not listed above.

K57.0Diverticulitis of small intestine with perforation and abscess
K57.1Diverticular disease of small intestine without perforation or abscess
K57.2Diverticulitis of large intestine with perforation and abscess
K57.3Diverticular disease of large intestine without perforation or abscess
K63.0Abscess of intestine
K63.1Perforation of intestine (nontraumatic)
K92.2Gastrointestinal hemorrhage, unspecified

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead K57

8 child codes. Green means billable.