K57.20
K57.20: Diverticulitis of large intestine with perforation and abscess without bleeding
Billable / specific codeICD-10-CM
K57.20 is a billable, specific ICD-10-CM code for diverticulitis of large intestine with perforation and abscess without bleeding. It is valid for submission on a claim.
Check K57.20 with the rest of the claim: free scrubberExcludes1 inherited from the categories above K57.20
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above K57.20
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with K57.20
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
K57.20 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A55937Billing and Coding: Diagnostic Colonoscopy
- A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
Alphabetic index entries that lead here
- Perforation, perforated›diverticulum›large intestine
- Rupture, ruptured›diverticulum›large intestine
- Abscess›with›diverticular disease›large intestine
- Peritonitis›with or following›diverticular disease›large intestine
- Diverticulitis›intestine›large›with›abscess, perforation
Code history
Unchanged in every release from FY2024 to FY2027.