K63.2
K63.2: Fistula of intestine
Billable / specific codeICD-10-CM
K63.2 is a billable, specific ICD-10-CM code for fistula of intestine. It is valid for submission on a claim.
Check K63.2 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
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.
Code also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- , if applicable, disruption of internal operation (surgical) wound (T81.32-)
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
K63.2 is named in 9 Medicare coverage policies: 9 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
- A56432Billing and Coding: Infliximab
Alphabetic index entries that lead here
- Fistula›abdomen(wall)
- Fistula›abdominorectal
- Fistula›abdominosigmoidal
- Fistula›cecosigmoidal
- Fistula›cecum
- Fistula›colon
- Fistula›enterocolic
- Fistula›enterocutaneous
- Fistula›fecal
- Fistula›ileorectal or ileosigmoidal
- Fistula›ileum
- Fistula›intestine NEC
Code history
Unchanged in every release from FY2024 to FY2027.