K57.1
K57.1 — Diverticular disease of small intestine without perforation or abscess
Non-billable headerICD-10-CM
K57.1 is a non-billable header ICD-10-CM code for diverticular disease of small intestine without perforation or abscess. 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.
- diverticular disease of both small and large intestine without perforation or abscess (K57.5-)
Risk adjustment
K57.1 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.
Code to one of these instead K57.1
4 child codes. Green means billable.
- K57.10Diverticulosis of small intestine without perforation or abscess without bleeding
- K57.11Diverticulosis of small intestine without perforation or abscess with bleeding
- K57.12Diverticulitis of small intestine without perforation or abscess without bleeding
- K57.13Diverticulitis of small intestine without perforation or abscess with bleeding
Related codes at this level
Codes that share K57. If K57.1 is not quite right, the correct code is usually one of these.
- K57.0Diverticulitis of small intestine with perforation and abscess
- K57.2Diverticulitis of large intestine with perforation and abscess
- K57.3Diverticular disease of large intestine without perforation or abscess
- K57.4Diverticulitis of both small and large intestine with perforation and abscess
- K57.5Diverticular disease of both small and large intestine without perforation or abscess
- K57.8Diverticulitis of intestine, part unspecified, with perforation and abscess
- K57.9Diverticular disease of intestine, part unspecified, without perforation or abscess
Questions about K57.1
- Is K57.1 a billable ICD-10-CM code?
- No. K57.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does K57.1 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 K57.1?
- K57.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.