K63.0

K63.0: Abscess of intestine

Billable / specific codeICD-10-CM

K63.0 is a billable, specific ICD-10-CM code for abscess of intestine. It is valid for submission on a claim.

Check K63.0 with the rest of the claim: free scrubber

Excludes1: never code together

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

abscess of intestine with Crohn's disease (K50.014, K50.114, K50.814, K50.914,)
abscess of intestine with diverticular disease (K57.0, K57.2, K57.4, K57.8)
abscess of intestine with ulcerative colitis (K51.014, K51.214, K51.314, K51.414, K51.514, K51.814, K51.914)

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.

abscess of anal and rectal regions (K61.-)
abscess of appendix (K35.3-)

Risk adjustment

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

Medicare coverage

K63.0 is named in 3 Medicare coverage policies: 3 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
A56632Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy

Alphabetic index entries that lead here

Abscess›bowel
Abscess›colon(wall)
Abscess›fecal
Abscess›intestine, intestinal NEC
Abscess›rectovaginal septum
Abscess›sigmoid

Code history

Unchanged in every release from FY2024 to FY2027.