K57.11

K57.11: Diverticulosis of small intestine without perforation or abscess with bleeding

Billable / specific codeICD-10-CM

K57.11 is a billable, specific ICD-10-CM code for diverticulosis of small intestine without perforation or abscess with bleeding. It is valid for submission on a claim.

Check K57.11 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above K57.11

A category’s note binds every code beneath it.

Written on K57.1: Diverticular disease of small intestine without perforation or abscess

diverticular disease of both small and large intestine without perforation or abscess (K57.5-)

Written on K57: Diverticular disease of intestine

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

Excludes2 inherited from the categories above K57.11

Not part of this code, but both may be coded when both are present.

Written on K57: Diverticular disease of intestine

diverticulum of appendix (K38.2)

Other codes that can never be billed with K57.11

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

K92.2Gastrointestinal hemorrhage, unspecified

Risk adjustment

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

Medicare coverage

K57.11 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56421Billing and Coding: CT of the Abdomen and Pelvis
A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
A56461Billing and Coding: Endoscopy by Capsule
A56632Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy

Alphabetic index entries that lead here

Diverticulosis›small intestine›with›bleeding

Code history

Unchanged in every release from FY2024 to FY2027.